Healthcare Provider Details

I. General information

NPI: 1356282347
Provider Name (Legal Business Name): MARIA JOANA ALCANTARA KENT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 N 24TH ST STE 150
PHOENIX AZ
85008-4617
US

IV. Provider business mailing address

2343 N 28TH PL
PHOENIX AZ
85008-2007
US

V. Phone/Fax

Practice location:
  • Phone: 602-254-0200
  • Fax: 888-240-4932
Mailing address:
  • Phone: 206-446-8651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number336825
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: