Individual
ANGELA DORTHINA BALUYOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3333 E CAMELBACK RD STE 260, PHOENIX, AZ 85018-2390
(602) 324-4622
Mailing address
4120 E ANDERSON DR, PHOENIX, AZ 85032-2264
(602) 903-8255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023061171
AZ
Other
Enumeration date
11/08/2023
Last updated
05/22/2024
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