Individual
JENNA M SANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
18933 E SAN TAN BLVD STE 125, QUEEN CREEK, AZ 85142-2001
(480) 456-0551
Mailing address
2683 E RUNAWAY BAY PL, GILBERT, AZ 85298-0044
(480) 619-2548
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP7492
AZ
367A00000X
Advanced Practice Midwife
RN189286
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z280470
—
AZ
Enumeration date
06/25/2013
Last updated
06/24/2024
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