Organization
HG MAMA COACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH GAMMAGE NP (OWNER)
(775) 530-5225
Entity
Organization
Contact information
Practice address
4512 W PEARCE RD, LAVEEN, AZ 85339
(602) 499-3866
Mailing address
4611 E CHANDLER BLVD STE 112, PHOENIX, AZ 85048-0442
(602) 499-3866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101232
—
AZ
Enumeration date
12/09/2025
Last updated
12/09/2025
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