Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kandy Lizzeth Medina Perez, FNP-C

Individual provider Registered Nurse · NPI 1972186138

Kandy Lizzeth Medina Perez, FNP-C is a Nurse Practitioner in Surprise, Arizona. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

13755 N Litchfield Rd Ste 105
Surprise, AZ 85379-4288
Phone: (623) 248-7404
Fax: (949) 437-2917
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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 · Licence RNP267355 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN211082 (AZ)

Record details

NPI number1972186138
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 4, 2021
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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