Individual
AMANDA K SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(602) 470-5000
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9814
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200924500
—
IN
Enumeration date
05/31/2008
Last updated
02/25/2019
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