Most Relevant Information
Provider Data
| NPI Number: | 1003195025 |
| Provider Name: | AIDA E AMADO MS, ACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | AP4152 |
Most Important Dates
| Enumeration Date: | 08/08/2011 |
| Last Updated: | 08/08/2011 |
Provider Practice Location
10163 E JACOB AVE
MESA
AZ
852097086
Practice Location Phone/Fax
| Phone: | 4802968849 |
| Fax: |
Provider Mailing Location
10163 E JACOB AVE
MESA
AZ
852097086
Provider Mailing Phone/Fax
| Phone: | 4802968849 |
| Fax: |