Mascio, Amanda Ruth

Mascio, Amanda Ruth is an individual health care provider with primary practice located at 7720 N 16Th St Ste 425, Phoenix AZ 85020-4492. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Mascio, Amanda Ruth can be contacted via phone (602) 476-8962.

Contact Information

Primary practice address
7720 N 16Th St Ste 425 Phoenix AZ 85020-4492
Phone: (602) 476-8962
Fax: (623) 643-9236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP5282 Arizona
Nursing Service Providers / Registered Nurse 163W00000X RN181625 Arizona

Profile Details

NPI number 1194167023
LBN Legal business name Mascio, Amanda Ruth
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2013
Last updated Oct 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194167023 NPPES
Arizona MEDICAID 861865

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