Individual
AMANDA RAE CANIZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5432 E SOUTHERN AVE STE 106, MESA, AZ 85206-2772
(480) 576-8177
(855) 583-3185
Mailing address
5432 E SOUTHERN AVE STE 106, MESA, AZ 85206-2772
(480) 576-8177
(855) 583-3185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
242781
AZ
Other
Enumeration date
06/18/2020
Last updated
01/26/2026
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