Individual
MRS. MICHELLE LEIGH PANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MICHELLE PANDE NP-C
Contact information
Practice address
10238 E HAMPTON AVE, SUITE 202, MESA, AZ 85209-3316
(480) 399-2002
(480) 380-4035
Mailing address
9250 N 3RD ST, SUITE 4010, PHOENIX, AZ 85020-2437
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3613
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-0783428
TAX-ID
AZ
Enumeration date
05/26/2010
Last updated
01/07/2011
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