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

Southwestern Pediatricspllc

Organization Family Nurse Practitioner · NPI 1093033110

Southwestern Pediatricspllc provides Family Nurse Practitioner services in Maricopa, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010

Practice location Address checks out

21300 N John Wayne Pkwy Ste 109
Maricopa, AZ 85139-8964 Not confirmed with CMS for 16 years — call before visiting
Phone: (520) 568-9500
Fax: (520) 568-9533
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP3529 (AZ)

Record details

NPI number1093033110
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthwestern Pediatrics PLLC
Authorized official Kellie Denos — Front Office · (480) 857-6316
NPI enumeratedMay 13, 2010
Last updated in NPPESMay 13, 2010
Mailing address21300 N John Wayne Pkwy Ste 109, Maricopa, AZ 85139-8964

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