Individual
MRS. KRUSHANGI TRIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1343 N ALMA SCHOOL RD STE 205, CHANDLER, AZ 85224-5903
(480) 963-1853
Mailing address
1343 N ALMA SCHOOL RD, STE 160, CHANDLER, AZ 85224-5901
(480) 963-1853
(480) 963-1854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP11313
AZ
207QA0505X
Adult Medicine Physician
AP11313
AZ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
AP11313
AZ
Other
Enumeration date
07/12/2018
Last updated
01/10/2020
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