IndividualActive
Siwon Im, RN
NPI 1962373118 · Hemodialysis Registered Nurse · Phoenix, AZ
Provider details
- NPI number
- 1962373118
- Entity type
- Individual
- Primary specialty
- Hemodialysis Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN171498 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
Fax: (602) 212-2125
Approximate (ZIP-level) locationGet directions
Mailing address
650 E Indian School Rd
Phoenix, AZ 85012-1839
Registry dates
- Enumerated
- 2025-09-12
- Last updated
- 2025-09-12
- Certified
- 2025-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.