Individual
ABBY MICHELE NASTERNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
9494 W NORTHERN AVE, 101, GLENDALE, AZ 85305-1118
(623) 872-2226
Mailing address
2550 N THUNDERBIRD CIR, MESA, AZ 85215-1214
(480) 353-2235
(480) 776-0025
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3033
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885048
—
AZ
Enumeration date
01/30/2006
Last updated
01/14/2014
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