MEDICARE: MARIA ZULEMA HERNANDEZ CAMPOS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN190488	AZ

General Provider Information

NPI Number	:	1053286005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ZULEMA HERNANDEZ CAMPOS RN

Provider Business Mailing Address
First Line	:	13 E FOOTHILL DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-1012
Country	:	US
Telephone Number	:	602-910-7760
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 E FOOTHILL DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-1012
Country	:	US
Telephone Number	:	602-910-7760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	01/21/2026

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