SearchArizona104100000X

Amanda Weyrum

NPI 1710413604 · on the registry since 2017

Practice

Address
11666 N 28th Dr
Unit 165
Phoenix, AZ 85029
Phone
(602) 279-1427
Fax
(602) 279-1431

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-05-11

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