MEDICARE: LIMY FERNANDUS FNP-C

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	AP136537	TX
2	363LF0000X	Family Nurse Practitioner	259944	AZ
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	259944	AZ

General Provider Information

NPI Number	:	1972005189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIMY FERNANDUS FNP-C

Provider Business Mailing Address
First Line	:	5620 W THUNDERBIRD RD STE B2
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-4638
Country	:	US
Telephone Number	:	888-698-6727
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 E THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-7602
Country	:	US
Telephone Number	:	888-698-6727
Fax Number	:

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

Provider Enumeration Date	:	03/03/2018
Last Update Date	:	08/21/2023

Similar Medicare Providers

1497760722 — WALGREEN CO
Practice Location Address:

1616 E THOMAS RD
PHOENIX, AZ
85016-7602

Practice Phone: 602-263-8307
Practice Fax:

1588709919 — DR. RICHARD JOSEPH SPINA D.C.
Practice Location Address:

1640 EAST THOMAS ROAD
PHOENIX, AZ
85016-7602

Practice Phone: 602-248-9141
Practice Fax:

1245560234 — MR. EUGENE J MYERS RPH
Practice Location Address:

1616 E THOMAS RD
PHOENIX, AZ
85016-7602

Practice Phone: 602-263-8307
Practice Fax:

1306186580 — MR. JOSEPH WOLFF LMT
Practice Location Address:

1640 E THOMAS RD , SUITE B
PHOENIX, AZ
85016-7602

Practice Phone: 602-695-0809
Practice Fax: 480-897-1758

1982011177 — GREGORY F DZIDUCH PHARM.D.
Practice Location Address:

1616 E THOMAS RD
PHOENIX, AZ
85016-7602

Practice Phone: 602-263-8307
Practice Fax:

1962008052 — OSSY SUTJITA
Practice Location Address:

1616 E THOMAS RD
PHOENIX, AZ
85016-7602

Practice Phone: 22-638-3076
Practice Fax:

Directions to “ LIMY FERNANDUS FNP-C” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.