Individual
AMANDA WESTLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, MSN
Contact information
Practice address
500 W THOMAS RD, STE 710, PHOENIX, AZ 85013-4224
(602) 406-9999
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3121
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364917
—
AZ
Enumeration date
12/10/2007
Last updated
04/16/2012
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