Individual
ANA MARIA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
14415 W MCDOWELL RD STE D102, GOODYEAR, AZ 85395-2521
(623) 512-4190
(623) 512-4194
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
273354
AZ
363LA2100X
Acute Care Nurse Practitioner
273354
AZ
363LG0600X
Gerontology Nurse Practitioner
273354
AZ
Other
Enumeration date
04/29/2022
Last updated
08/07/2024
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