Individual
MR. AMORY GODWIN CARINGAL GRIJALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
12451 W GENTLE RAIN RD, PEORIA, AZ 85383-7198
(623) 256-6994
(623) 256-6994
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
73268
NM
363L00000X
Nurse Practitioner
Primary
AP7637
AZ
363LA2100X
Acute Care Nurse Practitioner
AP7637
AZ
Other
Enumeration date
02/09/2015
Last updated
08/05/2024
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