Individual
MANDEEP KAUR SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4220 N 20TH AVE, PHOENIX, AZ 85015-5124
(623) 872-1818
(623) 872-1819
Mailing address
11836 N 96TH PL, SCOTTSDALE, AZ 85260-5962
(480) 798-4577
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
281017
AZ
Other
Enumeration date
09/19/2022
Last updated
08/11/2023
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