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Family Nurse Practitioner · Goodyear, AZ

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At a glance

13291 W Mcdowell Rd, Goodyear, AZ 85395-2634

NPPES record updated Sep 9, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

13291 W Mcdowell Rd
Goodyear, AZ 85395-2634

Professional details: NPI, taxonomy & registry record

NPI1306671193

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Registry details

Primary taxonomy: Family Nurse Practitioner
Taxonomy code: 363LF0000X
Enumeration date: Sep 3, 2024
Record updated: Sep 9, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Nurse Practitioner

363LF0000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

13291 W Mcdowell Rd
Goodyear, AZ 85395-2634

Phone: (623) 850-8264

Mailing address

3201 N 127TH DR

AVONDALE, AZ 853926360

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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