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NPI Code Detail

MEDICARE: DARLENE BIRDWELL FNP

MEDICARE: DARLENE BIRDWELL FNP
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
1363LF0000XFamily Nurse PractitionerRN064061AZ
2363LF0000XFamily Nurse PractitionerAP0903AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396712568
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE BIRDWELL FNP
Provider Business Mailing Address
First Line : 1331 N 7TH ST STE 375
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2707
Country : US
Telephone Number : 602-307-0070
Fax Number : 602-307-0080
Provider Business Practice Location Address
First Line : 1331 N 7TH ST STE 375
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2707
Country : US
Telephone Number : 602-307-0070
Fax Number : 602-307-0080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 04/09/2021

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Directions to “ DARLENE BIRDWELL FNP” Practice Location

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