Healthcare Provider Details

I. General information

NPI: 1407991201
Provider Name (Legal Business Name): ANA AMATO APN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 12/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 E IRONWOOD SQUARE DR STE 124
SCOTTSDALE AZ
85258-4582
US

IV. Provider business mailing address

10160 N 111TH PL
SCOTTSDALE AZ
85259-4833
US

V. Phone/Fax

Practice location:
  • Phone: 480-860-0550
  • Fax:
Mailing address:
  • Phone: 480-657-9696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberRN088409
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP6806
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP6806
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: