Individual
AMANDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12901 N 63RD AVE, GLENDALE, AZ 85304-1701
(623) 412-4753
(623) 412-4755
Mailing address
12901 N 63RD AVE, GLENDALE, AZ 85304-1701
(623) 412-4753
(623) 412-4755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN181411
AZ
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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