Individual
MRS. AMI NICOLE RADDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
3489 E BASELINE RD, GILBERT, AZ 85234-2651
(480) 471-8560
Mailing address
3489 E BASELINE RD, GILBERT, AZ 85234-2651
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
290533
AZ
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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