Provider Demographics
NPI:1447665815
Name:MAGDALENO, JULIANNE CAUWET (FNP)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:CAUWET
Last Name:MAGDALENO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:C
Other - Last Name:CAUWET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13430 N SCOTTSDALE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4058
Mailing Address - Country:US
Mailing Address - Phone:623-344-4000
Mailing Address - Fax:
Practice Address - Street 1:5845 E STILL CIR STE 104
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3635
Practice Address - Country:US
Practice Address - Phone:623-334-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily