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

Southwestern Pediatricspllc

Organization Family Nurse Practitioner · NPI 1093033110

Southwestern Pediatricspllc is a Family Nurse Practitioner in Maricopa, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010

Practice location Address checks out

21300 N John Wayne Pkwy Ste 109
Maricopa, AZ 85139-8964
Phone: (520) 568-9500
Fax: (520) 568-9533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP3529 (AZ)

Record details

NPI number1093033110
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthwestern Pediatrics PLLC
Authorized official Kellie Denos — Front Office · (480) 857-6316
NPI enumeratedMay 13, 2010
Last updated in NPPESMay 13, 2010
Mailing address21300 N John Wayne Pkwy Ste 109, Maricopa, AZ 85139-8964

Other providers in Maricopa