# CARE ON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942819230
- **Authorized official:** MANJU KRISHNAMENON ANP (MANAGER)
- **Authorized official phone:** (602) 466-8281

## Contact information

- **Practice address:** 7171 S 51 AVE, PHOENIX, AZ 85339-2923
- **Practice address phone:** (623) 584-5100
- **Mailing address:** 2030 W BASELINE RD STE 182-746, PHOENIX, AZ 85041-6574
- **Mailing address phone:** (623) 398-5602
- **Mailing address fax:** (866) 761-1196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2020
- **Last updated:** 07/23/2020
