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Search › Arizona › 363LA2100X

Amanda Dean Martin, ACNP-BC

NPI 1841444858 · on the registry since 2008 · sole proprietor

Practice

Address
2946 E. Banner Gateway Drive
Gilbert, AZ 85234
Phone
(480) 256-6444
Fax
(480) 256-4734
Organisation at this address
Banner Pharmacy Services Llc
Banner Pharmacy Services Llc
Banner Pharmacy Services Llc
Banner Gateway Medical Center
Banner Thunderbird Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
209

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
163W00000X
363LA2100X
Licence states on file
TN, AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-06

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