IndividualActive
Jose Medina, RN
NPI 1942095765 · Home Health Registered Nurse · Phoenix, AZ
Provider details
- NPI number
- 1942095765
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 271986 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
915 E Palm Ln
Phoenix, AZ 85006-2116
Phone: (602) 257-3853
Approximate (ZIP-level) locationGet directions
Mailing address
3300 N Central Ave Ste 2500
Phoenix, AZ 85012-2505
Registry dates
- Enumerated
- 2025-04-11
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.