Individual
AMY JANETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15255 N 40TH ST STE 105, PHOENIX, AZ 85032-4636
(602) 867-2690
Mailing address
15255 N 40TH ST STE 105, PHOENIX, AZ 85032-4636
(602) 867-2690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9008
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP9008
ARIZONA STATE BOARD OF NURSING NURSE PRACTITIONER LICENSE
AZ
Enumeration date
10/02/2016
Last updated
10/02/2016
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