Healthcare Provider Details

I. General information

NPI: 1467348318
Provider Name (Legal Business Name): JOSELINE VALDEZ TRUJILLO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOSELINE TRUJILLO MELO

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 N DREAMY DRAW DR
PHOENIX AZ
85020-4660
US

IV. Provider business mailing address

107 3RD AVE E
BUCKEYE AZ
85326-1203
US

V. Phone/Fax

Practice location:
  • Phone: 602-870-5051
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number259242
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: