Individual
AMANDA NICOLE BEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
Mailing address
1301 S CRISMON RD, MESA, AZ 85209-3767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11449
AZ
363A00000X
Physician Assistant
Primary
3917
SC
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4682PA
—
SC
01
—
SCK723
MEDICARE
SC
Enumeration date
02/12/2021
Last updated
03/20/2026
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