IndividualActive
Andrea Hernandez Medina
NPI 1780548917 · Acute Care Nurse Practitioner · Flagstaff, AZ
Provider details
- NPI number
- 1780548917
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 258776 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 310-9400
Approximate (ZIP-level) locationGet directions
Mailing address
726 E Edison Ave
Williams, AZ 86046-2120
Registry dates
- Enumerated
- 2025-12-11
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.