IndividualActive
Amanda Taylor
NPI 1861947699 · Registered Nurse · Glendale, AZ
Provider details
- NPI number
- 1861947699
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN181411 (AZ)
Practice location
12901 N 63rd Ave
Glendale, AZ 85304-1701
Phone: (623) 412-4753
Fax: (623) 412-4755
Mailing address
12901 N 63rd Ave
Glendale, AZ 85304-1701
Registry dates
- Enumerated
- 2016-08-22
- Last updated
- 2016-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.