Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Jo Frary, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1043979099

Amanda Jo Frary, APRN is a Nurse Practitioner in Goodyear, Arizona. Qualified in 2021, 5 years ago. Practices with Arizona Urology LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

13555 W McDowell Rd Ste 302
Goodyear, AZ 85395-2629
Phone: (623) 404-3046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 267936 (AZ)

Record details

NPI number1043979099
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedDecember 16, 2021
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021
Mailing address529 E Utopia Rd, Phoenix, AZ 85024-2274

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Arizona Urology Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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