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

Stephanie Lyn Medina

Individual provider Licensed Practical Nurse · NPI 1093313033

Stephanie Lyn Medina is a Licensed Practical Nurse in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

2349 N 83rd Dr
Phoenix, AZ 85037-3742
Phone: (619) 309-6824
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 218387 (AZ)

Record details

NPI number1093313033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2020
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020

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