MEDICARE: HAMDA HANAN AWAAL DNP,A-GNP-C,PMHNP-BC

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	AP7743	AZ
2	363LP2300X	Primary Care Nurse Practitioner	AP7743	AZ

General Provider Information

NPI Number	:	1710373923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAMDA HANAN AWAAL DNP,A-GNP-C,PMHNP-BC

Provider Business Mailing Address
First Line	:	1530 E WILLIAMS FIELD RD STE 201
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-1825
Country	:	US
Telephone Number	:	623-633-5285
Fax Number	:	480-508-4037

Provider Business Practice Location Address
First Line	:	1530 E WILLIAMS FIELD RD STE 201
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-1825
Country	:	US
Telephone Number	:	623-633-5285
Fax Number	:	480-508-4037

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

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	03/04/2026

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