Healthcare Provider Details

I. General information

NPI: 1447665815
Provider Name (Legal Business Name): JULIANNE CAUWET MAGDALENO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIANNE C CAUWET

II. Dates (important events)

Enumeration Date: 06/24/2014
Last Update Date: 04/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5845 E STILL CIR STE 104
MESA AZ
85206-3635
US

IV. Provider business mailing address

13430 N SCOTTSDALE RD STE 200
SCOTTSDALE AZ
85254-4058
US

V. Phone/Fax

Practice location:
  • Phone: 623-334-4000
  • Fax:
Mailing address:
  • Phone: 623-344-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP5586
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: