Individual
BREANNA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
20414 N 27TH AVE FL 4, PHOENIX, AZ 85027-3250
(623) 707-2895
Mailing address
9261 W POTTER DR, PEORIA, AZ 85382-5242
(623) 202-5833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
283039
AZ
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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