Provider Demographics
NPI:1982825436
Name:EBY, AMY ZANGGER (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ZANGGER
Last Name:EBY
Suffix:
Gender:F
Credentials:CPNP
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Other - Credentials:
Mailing Address - Street 1:4915 E BASELINE RD
Mailing Address - Street 2:STE 119
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2965
Mailing Address - Country:US
Mailing Address - Phone:480-832-0480
Mailing Address - Fax:480-832-0490
Practice Address - Street 1:4915 E BASELINE RD
Practice Address - Street 2:STE 119
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2965
Practice Address - Country:US
Practice Address - Phone:480-832-0480
Practice Address - Fax:480-832-0490
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2015-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZRN128538363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics