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

Mr. Daniel Carmen Fordiani III, MSN, APRN, A-GNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1700582186

Mr. Daniel Carmen Fordiani III, MSN, APRN, A-GNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Todd Gillingham MD LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (480) 342-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 291390 (AZ)

Record details

NPI number1700582186
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , APRN , A-GNP-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESMay 31, 2023
Certification dateMarch 16, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Todd Gillingham Md Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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