Individual
MRS. MANJU THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN. CPNP
Contact information
Practice address
4540 E BASELINE RD STE 108, MESA, AZ 85206-4616
(480) 892-3880
(480) 545-4551
Mailing address
25810 N 50TH GLN, PHOENIX, AZ 85083-1848
(623) 251-5115
(623) 362-8095
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP5226
AZ
Other
Enumeration date
10/16/2013
Last updated
06/08/2023
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