MEDICARE: ALICE MUSTAPHA AMARA ACNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	AP4289	AZ
2	363L00000X	Nurse Practitioner	RN229290	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	Z71338	OTHER	AZ	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477824894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE MUSTAPHA AMARA ACNP

Provider Business Mailing Address
First Line	:	105 PROFESSIONAL PARK DR
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-2381
Country	:	US
Telephone Number	:	623-241-6152
Fax Number	:	623-241-6152

Provider Business Practice Location Address
First Line	:	9250 W THOMAS RD
Second Line	:	SUITE 200
City	:	PHOENIX
State	:	AZ
Zip	:	85037-3382
Country	:	US
Telephone Number	:	623-516-8252
Fax Number	:	623-516-8253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2012
Last Update Date	:	11/29/2023

Similar Medicare Providers

1053392670 — DR. FRANCIS J MARTINEZ D.O.
Practice Location Address:

9250 W THOMAS RD STE 360
PHOENIX, AZ
85037-3382

Practice Phone: 623-218-0831
Practice Fax:

1457339723 — MS. AMANDA BROOKE CHAPMAN PA-C
Practice Location Address:

9250 W THOMAS RD , SUITE 250
PHOENIX, AZ
85037-3382

Practice Phone: 623-936-5406
Practice Fax: 623-936-5479

1831138270 — PHOENIX VAMC
Practice Location Address:

9250 W THOMAS RD , SUITE 400
PHOENIX, AZ
85037-3382

Practice Phone: 702-341-3152
Practice Fax:

1508898602 — DR. RAMOUN DANTE JONES MD
Practice Location Address:

9250 W THOMAS RD , SUITE 200
PHOENIX, AZ
85037-3382

Practice Phone: 623-516-8252
Practice Fax: 623-516-8253

1770504698 — MR. HAIDER ZAFAR M.D.
Practice Location Address:

9250 W THOMAS RD , STE 150
PHOENIX, AZ
85037-3382

Practice Phone: 623-478-8091
Practice Fax: 623-478-1534

1114174737 — DR. ANGELA M. SMITH DNP, PMHNP-BC, CMGT
Practice Location Address:

9250 W THOMAS RD
PHOENIX, AZ
85037-3382

Practice Phone: 602-815-5964
Practice Fax:

Directions to “ ALICE MUSTAPHA AMARA ACNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.