Individual
AMANDA APODACA BLANCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
2415 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-4245
(888) 279-0002
(915) 534-1289
Mailing address
2415 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-4245
(888) 279-0002
(915) 534-1289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP116908
TX
363LF0000X
Family Nurse Practitioner
692637
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
692637
TX
Other
Enumeration date
07/30/2008
Last updated
06/03/2025
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