Individual
MANJU M KRISHNAMENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1774 E SCORPIO PL, CHANDLER, AZ 85249-3995
(602) 466-8281
Mailing address
1774 E SCORPIO PL, CHANDLER, AZ 85249-3995
(602) 466-8281
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TAP4027
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67916040
—
AZ
Enumeration date
04/22/2011
Last updated
03/09/2024
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