Josephine Licano, CRNA is a
Nurse Anesthetist, Certified Registered based in Apache Junction, Arizona. Josephine Licano is licensed to practice in Arizona (license number RN020825) and her current practice location is
719 S Mountain View Rd, Apache Junction, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 288-9814.
NPI number for Josephine Licano is 1710177191 and her current mailing address is 719 S Mountain View Rd, Apache Junction, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710177191.
Provider's Profile
Full Name | Josephine Licano |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 719 S Mountain View Rd, Apache Junction, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710177191
- Provider Enumeration Date: 07/31/2007
- Last Update Date: 07/31/2007
Medical Identifiers
Medical identifiers for Josephine Licano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710177191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | RN020825 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Josephine Licano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Josephine Licano, CRNA 719 S Mountain View Rd, Apache Junction, AZ 85219-7544 Ph: () - | Josephine Licano, CRNA 719 S Mountain View Rd, Apache Junction, AZ 85219-7544 Ph: (480) 288-9814 |
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