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MAKINI CLINIC PLLC
NPI 1386423176
Nurse Practitioner - Family in Phoenix, AZ

Active since September 21, 2023
8805 N 23RD AVE STE 100, PHOENIX, AZ 85021(602) 856-6116 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Makini Clinic Pllc NPPES

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

MAKINI CLINIC PLLC (NPI 1386423176) is a healthcare organization registered as a family in Phoenix, Arizona and active in the NPI registry since September 2023. The organization lists Stanley Kidiavayi, Owner, as its authorized official.

NPPES Registry Identity

NPI1386423176
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAKINI CLINIC PLLC
Location Address8805 N 23RD AVE STE 100Phoenix, AZ 85021-4172
Mailing Address4220 Saxton Green AveLas Vegas, NV 89141-4354
Phone(602) 856-6116
Organization SubpartNo
Authorized OfficialStanley KidiavayiOwner · (602) 856-6116
Enumeration DateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1386423176 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
8805 N 23RD AVE STE 100, Phoenix, AZ 85021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Makini Clinic PLLC's NPI number?

The NPI number for Makini Clinic PLLC is 1386423176. It was assigned to this organization in the NPPES registry on September 21, 2023.

Where is Makini Clinic PLLC located?

Makini Clinic PLLC is located at 8805 N 23rd Ave Ste 100, Phoenix, AZ 85021. The listed phone number is (602) 856-6116.

What is Makini Clinic PLLC'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 Makini Clinic PLLC was last updated on September 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.