Individual
MS. AMY E FORKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.N., R.N.
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
5401 E VAN BUREN ST, UNIT #2086, PHOENIX, AZ 85008-3497
(602) 525-3663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN179761
AZ
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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