Organization
CHRYSALIS CHILDREN'S CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA J CABRERA APRN (CEO/PEDIATRIC NURSE PRACTITIONER)
(623) 570-7829
Entity
Organization
Contact information
Practice address
1845 E BROADWAY RD STE 116, TEMPE, AZ 85282-1685
(602) 851-5353
Mailing address
6847 S ALDER DR, TEMPE, AZ 85283-4148
(623) 570-7829
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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