Mrs Jolie Elizabeth Medan, BSN - Registered Nurse in Surprise, AZ

Mrs Jolie Elizabeth Medan, BSN is a Registered Nurse - Emergency based in Surprise, Arizona. Mrs Jolie Elizabeth Medan is licensed to practice in Arizona (license number RN168967) and her current practice location is 14108 N 156th Ct, Surprise, Arizona. She can be reached at her office (for appointments etc.) via phone at (253) 632-4014.

NPI number for Mrs Jolie Elizabeth Medan is 1366901795 and her current mailing address is 14108 N 156th Ct, Surprise, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366901795.

Contact Information

Mrs Jolie Elizabeth Medan, BSN
14108 N 156th Ct,
Surprise, AZ 85379-5639
(253) 632-4014
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jolie Elizabeth Medan
GenderFemale
SpecialityRegistered Nurse - Emergency
Location14108 N 156th Ct, Surprise, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366901795
  • Provider Enumeration Date: 03/15/2019
  • Last Update Date: 03/15/2019

Medical Identifiers

Medical identifiers for Mrs Jolie Elizabeth Medan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366901795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency RN168967 (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. Mrs Jolie Elizabeth Medan 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 AddressPractice Location Address
Mrs Jolie Elizabeth Medan, BSN
14108 N 156th Ct,
Surprise, AZ 85379-5639

Ph: (253) 632-4014
Mrs Jolie Elizabeth Medan, BSN
14108 N 156th Ct,
Surprise, AZ 85379-5639

Ph: (253) 632-4014

Reviews and Comments


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