Individual
MRS. ALYCIA SUSAN ERNST-AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P., R.N.
Contact information
Practice address
8417 E MCDOWELL RD, SCOTTSDALE, AZ 85257-3917
(480) 946-3399
(480) 946-2559
Mailing address
5528 E HILLERY DR, SCOTTSDALE, AZ 85254-2375
(480) 399-2497
(480) 946-2559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN101841
AZ
163WS0200X
School Registered Nurse
B101841
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP5137
AZ
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
2009005747
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
891748
AHCCCS
AZ
Enumeration date
01/30/2007
Last updated
02/25/2022
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