Individual
AMANDA JANEL HASL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
13634 N 93RD AVE, SUITE 300, PEORIA, AZ 85381-4914
(623) 815-2484
(623) 815-2483
Mailing address
6813 N 10TH PL, PHOENIX, AZ 85014-1021
(480) 516-1927
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP7640
AZ
Other
Enumeration date
03/18/2015
Last updated
05/06/2015
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