# ALLYSON SAMBACH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750910337
- **Gender:** F
- **Credential:** DNP, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 240171 | AZ | Yes |

## Other

- **Enumeration date:** 04/05/2020
- **Last updated:** 10/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005674 | — | AZ |
| 01 | — | 240171 | LICENSE NUMBER | AZ |