JOSEPH MEDLIN


Address: 915 N 52nd St Apt 2010, Phoenix, AZ 85008-7934
Phone: 4802386234

JOSEPH MEDLIN (NPI# 1578188025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578188025
Entity Type Individual
Full Name JOSEPH MEDLIN
Practice Address 915 N 52nd St Apt 2010
Phoenix
AZ 85008-7934
Mailing Address 1855 W Baseline Rd Ste 101
Mesa
AZ 85202-9098
Practice Telephone 4802386234
Mailing Telephone 4802386234
Enumeration Date 2020-06-10
Last Update Date 2020-06-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
242146 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOSEPH MEDLIN

NPI Name Taxonomy Address Enumeration
1063403939 Joseph Anthony Medlin Chiropractor 1627 Ne Alberta St, Portland, OR 97211-5070 2005-10-31

Office Location

Street Address 915 N 52ND ST APT 2010
City PHOENIX
State AZ
Zip Code 85008-7934

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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Competitor

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City PHOENIX
Zip Code 85008

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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