Individual
AMANDA MICHELE KEENHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
2204 S DOBSON RD STE 102, MESA, AZ 85202-6457
(602) 230-7373
(480) 628-8577
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN187348
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
272626
AZ
Other
Enumeration date
01/21/2010
Last updated
12/13/2023
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