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

Andrea Hernandez Medina

Individual provider Acute Care Nurse Practitioner · NPI 1780548917

Andrea Hernandez Medina is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2025, 1 year ago. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025

Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 310-9400
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 258776 (AZ)

Record details

NPI number1780548917
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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