Individual
ALLYSON SAMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
11851 N 51ST AVE STE F140, GLENDALE, AZ 85304-2847
(480) 882-4545
(623) 242-1314
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(602) 409-0499
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
240171
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005674
—
AZ
01
—
240171
LICENSE NUMBER
AZ
Enumeration date
04/05/2020
Last updated
10/03/2023
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