Healthcare Provider Details

I. General information

NPI: 1114449139
Provider Name (Legal Business Name): KENDRA LEIGH AHRENS JOSWIAK DNP, CNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 E CAMELBACK RD STE 700
PHOENIX AZ
85016-4245
US

IV. Provider business mailing address

6439 DUNSMORE RD
RAPID CITY SD
57702-7029
US

V. Phone/Fax

Practice location:
  • Phone: 480-690-9522
  • Fax:
Mailing address:
  • Phone: 507-993-2015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCP001224
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: