# CHRYSALIS CHILDREN'S CLINIC, PLLC

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

## Provider details

- **NPI number:** 1982315529
- **Authorized official:** ANGELA J CABRERA APRN (CEO/PEDIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (623) 570-7829

## Contact information

- **Practice address:** 1845 E BROADWAY RD STE 116, TEMPE, AZ 85282-1685
- **Practice address phone:** (602) 851-5353
- **Mailing address:** 6847 S ALDER DR, TEMPE, AZ 85283-4148
- **Mailing address phone:** (623) 570-7829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2022
- **Last updated:** 12/05/2022