Individual
AMY HANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11209 N TATUM BLVD STE 180, PHOENIX, AZ 85028-6060
(602) 494-5155
(602) 494-5115
Mailing address
11209 N TATUM BLVD STE 180, PHOENIX, AZ 85028-6060
(602) 494-5155
(602) 494-5115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8471
AZ
Other
Enumeration date
05/06/2015
Last updated
02/18/2020
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