SOUTHWESTERN PEDIATRICSPLLC
NPI 1093033110
Nurse Practitioner - Family in Maricopa, AZ

Q: What is Southwestern Pediatricspllc's NPI number?

The NPI number for Southwestern Pediatricspllc is 1093033110. It was assigned to this organization in the NPPES registry on May 13, 2010.

Q: What is Southwestern Pediatricspllc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 13, 2010

21300 N JOHN WAYNE PKWY STE 109, MARICOPA, AZ 85139(520) 568-9500(520) 568-9533 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southwestern Pediatricspllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWESTERN PEDIATRICSPLLC (NPI 1093033110) is a healthcare organization registered as a family in Maricopa, Arizona and active in the NPI registry since May 2010. The organization lists Kellie Ann Denos, Front Office, as its authorized official.

NPPES Registry Identity

NPI1093033110

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSOUTHWESTERN PEDIATRICSPLLC

Location Address21300 N JOHN WAYNE PKWY STE 109Maricopa, AZ 85139-8964

Mailing Address21300 N John Wayne Pkwy Ste 109Maricopa, AZ 85139-8964 · (520) 568-9500 · Fax (520) 568-9533

Phone(520) 568-9500

Fax(520) 568-9533

Organization SubpartYesParent: Southwestern Pediatrics Pllc

Authorized OfficialKellie Ann DenosFront Office · (480) 857-6316

Enumeration DateMay 13, 2010

✔ NPI 1093033110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP3529

21300 N JOHN WAYNE PKWY STE 109, Maricopa, AZ 85139

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYANN CRAZE LMT MMP

Massage Therapist

21300 N JOHN WAYNE PKWY STE 109
MARICOPA, AZ 85139

Pinal County (480) 335-2225

SULTAN Y. AYOUB FNP PLLC

Nurse Practitioner (Family)

21300 N JOHN WAYNE PKWY STE 109
MARICOPA, AZ 85139

Pinal County (520) 568-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwestern Pediatricspllc's NPI number?

The NPI number for Southwestern Pediatricspllc is 1093033110. It was assigned to this organization in the NPPES registry on May 13, 2010.

Where is Southwestern Pediatricspllc located?

Southwestern Pediatricspllc is located at 21300 N John Wayne Pkwy Ste 109, Maricopa, AZ 85139. The listed phone number is (520) 568-9500.

What is Southwestern Pediatricspllc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Southwestern Pediatricspllc was last updated on May 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.