Individual
JONNA O ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1106 N GILBERT RD STE 2, PMB188, MESA, AZ 85203-5143
(480) 227-4426
(480) 834-3606
Mailing address
1106 N GILBERT RD STE 2, PMB188, MESA, AZ 85203-5143
(480) 227-4426
(480) 834-3606
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3703
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
564117
—
AZ
Enumeration date
09/15/2010
Last updated
05/20/2014
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