Individual
AMIE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 W THOMAS RD, SUITE 300, PHOENIX, AZ 85013-4224
(602) 406-6262
(602) 406-6260
Mailing address
3200 N CENTRAL AVE, 9TH FLOOR, PHOENIX, AZ 85012-2425
(602) 406-3729
(602) 798-9412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
097145
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
754699
—
AZ
Enumeration date
08/25/2006
Last updated
01/29/2009
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