# PRIYA SABUMON BALAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1366015067
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WM0705X | Medical-Surgical Registered Nurse | RN214133 | AZ | Yes |
| 363L00000X | Nurse Practitioner | 271815 | AZ | — |
| 363LF0000X | Family Nurse Practitioner | 271815 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 271815 | AZ | — |

## Other

- **Enumeration date:** 07/20/2021
- **Last updated:** 06/03/2026