Individual
MRS. IRINA VLADIMIROVNA ASHAMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, PMHNP-BC
Contact information
Practice address
18001 N 79TH AVE STE B48, GLENDALE, AZ 85308-8393
(888) 906-8301
(623) 404-6602
Mailing address
18001 N 79TH AVE STE B48, GLENDALE, AZ 85308-8393
(888) 906-8301
(623) 404-6602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP10066
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10066
AZ
Other
Enumeration date
06/08/2017
Last updated
08/12/2024
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