Individual
CATHY BALZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13555 W MCDOWELL RD STE 103, GOODYEAR, AZ 85395-2625
(623) 932-1157
(623) 932-1045
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3838
(602) 633-3845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
086499
AZ
363LF0000X
Family Nurse Practitioner
Primary
223221
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521142
—
AZ
01
—
Z227298
MEDICARE
AZ
Enumeration date
03/08/2018
Last updated
07/29/2024
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