Individual
AMANDA ELLEN COWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
924 N COUNTRY CLUB DR, MESA, AZ 85201-4108
(480) 222-3205
Mailing address
16561 W DESERT LN, SURPRISE, AZ 85388-1152
(850) 217-5937
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
242549
AZ
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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