Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Makini Clinic PLLC

Organization Family Nurse Practitioner · NPI 1386423176

Makini Clinic PLLC is a Family Nurse Practitioner in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8805 N 23rd Ave Ste 100
Phoenix, AZ 85021-4172
Phone: (602) 856-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1386423176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stanley Kidiavayi — Owner · (602) 856-6116
NPI enumeratedSeptember 21, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023
Mailing address4220 Saxton Green Ave, Las Vegas, NV 89141-4354

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