Individual
AMANDA JO FRARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13555 W MCDOWELL RD STE 302, GOODYEAR, AZ 85395-2629
(623) 404-3046
Mailing address
529 E UTOPIA RD, PHOENIX, AZ 85024-2274
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
267936
AZ
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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