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Individual

AMANDA SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
500 W THOMAS RD STE 720AND730, PHOENIX, AZ 85013-4224
(602) 406-3715
(602) 406-4011
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
AP7653
AZ
367A00000X
Advanced Practice Midwife
Primary
AP7653
AZ

Other

Enumeration date
02/16/2015
Last updated
12/04/2024
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