MEDICARE: AMY HAAS

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	337030	AZ

General Provider Information

NPI Number	:	1538475942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY HAAS

Provider Business Mailing Address
First Line	:	4136 N 75TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-3171
Country	:	US
Telephone Number	:	623-247-1234
Fax Number	:

Provider Business Practice Location Address
First Line	:	4136 N 75TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-3171
Country	:	US
Telephone Number	:	623-247-1234
Fax Number	:

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

Provider Enumeration Date	:	08/23/2010
Last Update Date	:	06/18/2026

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Directions to “ AMY HAAS ” Practice Location

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