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Organization
CARE ON PLLC
Active
Organization
CARE ON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANJU KRISHNAMENON ANP (MANAGER)
(602) 466-8281
Entity
Organization
Contact information
Practice address
7171 S 51 AVE, PHOENIX, AZ 85339-2923
(623) 584-5100
Mailing address
2030 W BASELINE RD STE 182-746, PHOENIX, AZ 85041-6574
(623) 398-5602
(866) 761-1196
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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