Josephine Licano, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN020825 Issued in AZ

Practice address

719 S Mountain View Rd
Apache Junction, AZ 85219-7544

Phone

(480) 288-9814

NPI assigned

Jul 31, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1710177191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S MOUNTAIN VIEW RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852197544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S MOUNTAIN VIEW RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852197544",
            "telephone_number": "480-288-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICANO",
        "first_name": "JOSEPHINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN020825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea N Ledesma Cuello
• Tommy C Leeper, MD
• Wendi Lentz, FNP-C
• Lovie Leon, LPN
• Wesley Kreig Lewis, DPM
• Joyce Maurer Lindquist, RN
• Fred Barnett Lipovitch, MD
• Martin Loftus, MS
• Robin Ann Longacre, PTA
• Mark Lostracco, D.P.T

• Certified Registered Nurse Anesthetist in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.