Healthcare Provider Details

I. General information

NPI: 1093300436
Provider Name (Legal Business Name): AMBER PATRICIA REED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2021
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6003 W THUNDERBIRD RD STE 1
GLENDALE AZ
85306-4004
US

IV. Provider business mailing address

6003 W THUNDERBIRD RD STE 1
GLENDALE AZ
85306-4004
US

V. Phone/Fax

Practice location:
  • Phone: 602-805-3129
  • Fax: 888-355-6609
Mailing address:
  • Phone: 602-805-3129
  • Fax: 888-355-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number8744
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: