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Individual

AMY T. BLANCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(480) 543-2034
(480) 543-2647
Mailing address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(480) 543-2034
(480) 543-2647

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 103680
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP2807
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
243524
AZ
01
AP2807
ADULT NURSE PRACTIONER
AZ
01
RN103680
RN LICENSE
AZ
01
WCSKQ
SUN HEALTH GROUP #
AZ
Enumeration date
07/30/2007
Last updated
11/15/2011
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