Individual
MRS. AMY CARLEEN NEGOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5662
(928) 771-5249
Mailing address
13421 JEFFERSON AVE, HAWTHORNE, CA 90250-6019
(310) 978-1467
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
164403
AZ
Other
Enumeration date
11/17/2006
Last updated
05/06/2019
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