Provider Demographics
NPI:1467158089
Name:ARMENTA, DAISY
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:
Last Name:ARMENTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12747 W EDGEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-7084
Mailing Address - Country:US
Mailing Address - Phone:602-849-5873
Mailing Address - Fax:
Practice Address - Street 1:12747 W EDGEMONT AVE
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-7084
Practice Address - Country:US
Practice Address - Phone:602-849-5873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator