Individual
JAELA CABRERA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
Mailing address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
24182907
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
280248
AZ
Other
Enumeration date
05/20/2022
Last updated
09/23/2022
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