Individual
MS. AGNES ELIZABETH OBLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
1127 E HIDDENVIEW DR, PHOENIX, AZ 85048
(602) 405-6320
Mailing address
13838 S 46TH PL, #340, PHOENIX, AZ 85044-7800
(602) 405-6320
(480) 705-8848
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN076153
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340034
—
AZ
Enumeration date
06/30/2005
Last updated
06/25/2019
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