Individual
KANDY LIZZETH MEDINA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13755 N LITCHFIELD RD STE 105, SURPRISE, AZ 85379-4288
(623) 248-7404
(949) 437-2917
Mailing address
7908 N COTTON LN, WADDELL, AZ 85355-9751
(623) 512-8308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN211082
AZ
363LF0000X
Family Nurse Practitioner
Primary
RNP267355
AZ
Other
Enumeration date
05/04/2021
Last updated
08/21/2024
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