Individual
AMBER LEN HAUSKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(480) 325-3461
Mailing address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(602) 254-6840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9200
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154895
—
AZ
Enumeration date
05/21/2022
Last updated
10/07/2025
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