Healthcare Provider Details

I. General information

NPI: 1548122658
Provider Name (Legal Business Name): ANITTA VRANCEA AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 W VILLA THERESA DR
PHOENIX AZ
85023-1450
US

IV. Provider business mailing address

1312 W VILLA THERESA DR
PHOENIX AZ
85023-1450
US

V. Phone/Fax

Practice location:
  • Phone: 602-717-2820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number329706
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: