Individual
MRS. AMIE RAINA SEYMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4140 N 108TH AVE STE 134, PHOENIX, AZ 85037-5466
(623) 295-4901
(623) 266-3980
Mailing address
PO BOX 336, WADDELL, AZ 85355-0336
(480) 621-1696
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
235955
AZ
Other
Enumeration date
12/31/2019
Last updated
08/28/2023
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