Individual
ANEELA JACOB SAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12361 W BOLA DR STE 100, SURPRISE, AZ 85378-9021
(602) 698-7325
Mailing address
12361 W BOLA DR STE 100, SURPRISE, AZ 85378-9021
(602) 698-7325
(480) 500-8430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN139919
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504368
—
AZ
01
—
Z226704
MEDICARE
AZ
Enumeration date
03/26/2019
Last updated
11/12/2025
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