Individual
AMANDA SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-1337
(520) 792-1450
Mailing address
990 E RIVER RD APT 236, TUCSON, AZ 85718-5693
(520) 257-0723
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
289844
AZ
Other
Enumeration date
05/11/2023
Last updated
07/20/2023
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