MEDICARE: RED ARROW MEDICAL LLC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1174490767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED ARROW MEDICAL LLC

Provider Business Mailing Address
First Line	:	4611 E CHANDLER BLVD STE 112-1188
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-0441
Country	:	US
Telephone Number	:	888-661-6011
Fax Number	:

Provider Business Practice Location Address
First Line	:	8914 N 91ST AVE STE 105
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85345-8390
Country	:	US
Telephone Number	:	888-661-6011
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	MRS. LIMY FERNANDUS
Credential	:	CNP
Telephone Number	:	888-661-6011

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	01/05/2026

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Directions to “RED ARROW MEDICAL LLC ” Practice Location

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