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

Mrs. Kimberly Lynn Cantu, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1205094463

Mrs. Kimberly Lynn Cantu, NURSEPRACTITIONER is a Nurse Practitioner in Scottsdale, Arizona. Qualified in 2003, 23 years ago. Practices with Corner Health Medical Group P A, a 35-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Missouri.

Years since qualifying
23
Licensed in
AZ, MO
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

4921 E Bell Rd Ste 205
Scottsdale, AZ 85254-6002
Phone: (800) 640-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 300614 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 145260 (MO)

Record details

NPI number1205094463
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 23, 2008
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Corner Health Medical Group P A — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Scottsdale