Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP7518 | AZ |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9251112 | FL |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP7517 | AZ |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | ARNP9251112 | FL |
NPI | 1023279270 |
---|---|
Provider Name | Ms. Amber Pena Posey |
First Address | Chandler, AZ 85224-3557 |
Second Address | Chandler, AZ 85224-3557 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2008 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002997900 | (05) | FL |
AP 7517 | STATE LICENSE (01) | AZ |
AP 7518 | STATE LICENSE (01) | AZ |
ARNP9251112 | STATE LICENSE (01) | FL |
Y05YT | BC/BS OF FLORIDA (01) |