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NPI 1346594207

NPI 1346594207 : AMBER D VILLAFANE PMHNP-BC : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1346594207
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    Entity Type          |    Individual 
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    Provider Name        |    AMBER D VILLAFANE PMHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/30/2012
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    Last Update Date     |    01/06/2026
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Provider Practice Location Address
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    Address Line         |    4747 E ELLIOT RD 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85044-1627
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    Country              |    US
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    Telephone            |    480-447-6696
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4747 E ELLIOT RD STE 29 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85044-1629
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    Country              |    US
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    Telephone            |    480-447-6696
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    Fax                  |    480-956-0944
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    306860
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    License Number State |    AZ
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