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Search › Arizona › 363L00000X

Ana Fuentes, ACNP

NPI 1053056523 · on the registry since 2022 · sole proprietor

Practice

Address
14415 W Mcdowell Rd Ste D102
Goodyear, AZ 85395
Phone
(623) 512-4190
Fax
(623) 512-4194
Organisation at this address
Phat Tai Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LG0600X
363LA2100X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona