| Kim Mary Licciardi, FNP-C | |
|
14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Kim Mary Licciardi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 14672 N Frank Lloyd Wright Blvd, Scottsdale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548516438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN102285 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP4578 (Arizona) | Primary |
| Entity Name | North Valley Emergency Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285655209 PECOS PAC ID: 4284537416 Enrollment ID: O20040127000856 |
| Entity Name | Tec Emergency Physicians Of Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Mary Licciardi, FNP-C 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 Ph: (866) 389-2727 | Kim Mary Licciardi, FNP-C 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2043 Ph: (866) 389-2727 |
Mrs. Tamera Ann Youngblood, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14570 E Sweetwater Ave, Scottsdale, AZ 85259 Phone: 602-463-8064 Fax: 800-877-0713 | |
Ira Eunice Arandia Mauro, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9201 E Mountain View Rd, Scottsdale, AZ 85258 Phone: 855-246-6287 | |
Mr. Brett Lee Leifson, APRN MSN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7373 N Scottsdale Rd Ste A199, Scottsdale, AZ 85253 Phone: 702-805-5360 Fax: 702-977-7488 | |
Patricia Li, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15425 N Greenway Hayden Loop Ste A300, Scottsdale, AZ 85260 Phone: 480-607-1124 Fax: 480-607-1087 | |
Marci Farquhar-snow, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Helen Walker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10200 N 92nd St Ste 150, Scottsdale, AZ 85258 Phone: 480-860-8488 Fax: 480-860-8498 | |
Amy L Swanholm, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11333 N Scottsdale Rd Ste 230, Scottsdale, AZ 85254 Phone: 480-631-7373 Fax: 480-631-7374 |