Provider Demographics
NPI:1174973523
Name:MSOWOYA, AMY LYNN (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:MSOWOYA
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:KIJEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP-C, RN-BC
Mailing Address - Street 1:24654 N LAKE PLEASANT PKWY
Mailing Address - Street 2:STE 103-433
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1359
Mailing Address - Country:US
Mailing Address - Phone:623-225-7980
Mailing Address - Fax:623-225-7736
Practice Address - Street 1:7747 W DEER VALLEY RD STE 235
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-2123
Practice Address - Country:US
Practice Address - Phone:623-225-7980
Practice Address - Fax:623-225-7736
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8736363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily