Individual
AMANDA RUTH MASCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
7720 N 16TH ST, STE 425, PHOENIX, AZ 85020-4492
(602) 476-8962
(623) 643-9236
Mailing address
7720 N 16TH ST, STE 425, PHOENIX, AZ 85020-4492
(602) 476-8962
(623) 643-9236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN181625
AZ
363LN0000X
Neonatal Nurse Practitioner
Primary
AP5282
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
861865
—
AZ
Enumeration date
07/19/2013
Last updated
10/16/2014
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