Organization · NPI-2

Amava Aesthetics LLC

Nurse Practitioner · Glendale, AZ

NPI number1699533943
StatusActive
Last updated in NPPESMar 11, 2024

Details

NPI
1699533943
Entity type
Organization (NPI-2)
Legal business name
Amava Aesthetics LLC
Organization subpart
No
Enumeration date
Mar 11, 2024
Certification date
Mar 11, 2024
Last updated
Mar 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

6710 N 47th Ave
Glendale, AZ 85301-4121

Phone 323-717-7707

Mailing address

6710 N 47th Ave
Glendale, AZ 85301-4121

Phone 323-717-7707

Authorized official

Aneta Arzumanova
Ceo
3237177707

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