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NPI Code Detail

MEDICARE: ELSA YADIRA CEDILLO NP

MEDICARE:   ELSA YADIRA CEDILLO  NP
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
1363LA2100XAcute Care Nurse PractitionerAP8407AZ

General Provider Information

NPI Number : 1760840391
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELSA YADIRA CEDILLO NP
Provider Business Mailing Address
First Line : 8424 E SHEA BLVD SUITE 101
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260
Country : US
Telephone Number : 915-603-1728
Fax Number : 972-767-6122
Provider Business Practice Location Address
First Line : 123 E BASELINE RD STE D204
Second Line :
City : TEMPE
State : AZ
Zip : 85283-1298
Country : US
Telephone Number : 480-522-8875
Fax Number : 949-703-7978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2016
Last Update Date : 08/12/2025

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Directions to “ ELSA YADIRA CEDILLO NP” Practice Location

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