Josephine Licano, CRNA - Nurse Anesthetist, Certified Registered in Apache Junction, AZ

Josephine Licano, CRNA is a Nurse Anesthetist, Certified Registered based in Apache Junction, Arizona. Josephine Licano is licensed to practice in Arizona (license number RN020825) and her current practice location is 719 S Mountain View Rd, Apache Junction, Arizona. She can be reached at her office (for appointments etc.) via phone at (480) 288-9814.

NPI number for Josephine Licano is 1710177191 and her current mailing address is 719 S Mountain View Rd, Apache Junction, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710177191.

Contact Information

Josephine Licano, CRNA
719 S Mountain View Rd,
Apache Junction, AZ 85219-7544
(480) 288-9814
Not Available



Provider's Profile

Full NameJosephine Licano
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location719 S Mountain View Rd, Apache Junction, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710177191
  • Provider Enumeration Date: 07/31/2007
  • Last Update Date: 07/31/2007

Medical Identifiers

Medical identifiers for Josephine Licano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710177191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN020825 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Josephine Licano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Josephine Licano, CRNA
719 S Mountain View Rd,
Apache Junction, AZ 85219-7544

Ph: () -
Josephine Licano, CRNA
719 S Mountain View Rd,
Apache Junction, AZ 85219-7544

Ph: (480) 288-9814

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Nurse Anesthetist, Certified Registered Nurses in Apache Junction, AZ


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