Individual
MONA KAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1750 E BROADWAY RD, TEMPE, AZ 85282-1612
(480) 274-2820
Mailing address
9110 S PARKSIDE DR, TEMPE, AZ 85284-3820
(480) 274-2820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP10594
AZ
363LF0000X
Family Nurse Practitioner
Primary
SP021308
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP
NP
—
Enumeration date
09/27/2017
Last updated
09/11/2020
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