Provider Demographics
NPI:1407991201
Name:AMATO, ANA (APN, CNM)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:AMATO
Suffix:
Gender:F
Credentials:APN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10160 N 111TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4833
Mailing Address - Country:US
Mailing Address - Phone:480-657-9696
Mailing Address - Fax:
Practice Address - Street 1:9500 E IRONWOOD SQUARE DR STE 124
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4582
Practice Address - Country:US
Practice Address - Phone:480-860-0550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN088409261QM2500X
AZAP6806363L00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife