Glendale Healthcare LLC
NPI 1467869743ActiveOrganization· Nurse Practitioner, Family· Glendale, AZ
Nurse Practitioner, Family in Glendale, Arizona, registered in NPPES in July 2014. The authorized official on file is Martha Trujillo, Credentialing.
Overview
| NPI | 1467869743 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2014 |
| Last updated in NPPES | Jul 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Case Manager/Care Coordinator | 171M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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