Individual
MINI SUDHEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 S DOBSON RD STE 201, CHANDLER, AZ 85224-5669
(480) 307-9477
Mailing address
1124 E GAIL DR, CHANDLER, AZ 85225-1879
(480) 246-7658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
276794
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164370
—
AZ
Enumeration date
07/04/2022
Last updated
08/19/2022
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