Individual
AMY ERLENBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4344 W BELL RD STE 102, GLENDALE, AZ 85308-3589
(602) 588-4040
(602) 588-4034
Mailing address
4344 W BELL RD STE 102, GLENDALE, AZ 85308-3589
(602) 588-4040
(602) 588-4034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-004291
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634817
—
AZ
Enumeration date
05/19/2006
Last updated
02/25/2021
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