Stephanie Lyn Medina, | |
2349 N 83rd Dr, Phoenix, AZ 85037-3742 | |
(619) 309-6824 | |
Not Available |
Full Name | Stephanie Lyn Medina |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 2349 N 83rd Dr, Phoenix, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093313033 | NPI | - | NPPES |
218387 | Other | AZ | LICENCED PRACTICAL NURSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 218387 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Stephanie Lyn Medina, 2349 N 83rd Dr, Phoenix, AZ 85037-3742 Ph: (619) 309-6824 | Stephanie Lyn Medina, 2349 N 83rd Dr, Phoenix, AZ 85037-3742 Ph: (619) 309-6824 |
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