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NPI Code Detail

MEDICARE: LUZ NAVARRETE NORIEGA

MEDICARE: LUZ NAVARRETE NORIEGA
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 Practitioner279709AZ

General Provider Information

NPI Number : 1750001772
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUZ NAVARRETE NORIEGA
Provider Business Mailing Address
First Line : 4830 N 92ND DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-1036
Country : US
Telephone Number : 602-349-6769
Fax Number :
Provider Business Practice Location Address
First Line : 13921 W GRAND AVE STE 502
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-2439
Country : US
Telephone Number : 623-214-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2022
Last Update Date : 08/30/2022

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Directions to “ LUZ NAVARRETE NORIEGA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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