Individual
MINI CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-3030
(855) 428-5673
Mailing address
2680 S VAL VISTA DR STE 187, GILBERT, AZ 85295-1674
(480) 476-8750
(480) 476-8749
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
247141
AZ
Other
Enumeration date
09/03/2020
Last updated
12/29/2020
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