Andrew Fazenbaker, MS, CGC
Genetic Counselor, MS in Phoenix, AZ. Individual provider (NPI-1).
NPI number1396626149
StatusActive
Last updated in NPPESSep 9, 2025
Details
- NPI
- 1396626149
- Entity type
- Individual (NPI-1)
- Name
- Andrew Fazenbaker
- Credential
- MS, CGC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2025
- Certification date
- Sep 9, 2025
- Last updated
- Sep 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 170300000X | Genetic Counselor, MS | – | – | Yes |
Practice location
1919 E Thomas RdPhoenix, AZ 85016-7710
Phone 602-933-4363 · Fax 602-933-2415
Mailing address
9824 W Irma LnPeoria, AZ 85382-2296
Phone 717-525-4240
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