Individual provider · Type 1 NPI

Amanda Elizabeth Wennersten, FNP

Family Nurse Practitioner · Phoenix, AZ

NPI number 1386097335 Active

Practice location

4831 N 11th St
Phoenix, AZ 85014-3681

Fax (602) 424-2103

Mailing address

6015 E Brown Rd
Mesa, AZ 85205-4452

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN164357 (AZ)
Family Nurse Practitioner Primary 363LF0000XAP8586 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1386097335

Amanda Elizabeth Wennersten, FNP's National Provider Identifier is 1386097335, issued on Jul 14, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 19, 2022.