Mini Sudheer
Nurse Practitioner, Family in Chandler, AZ. Individual provider (NPI-1).
NPI number1154054591
StatusActive
Last updated in NPPESAug 19, 2022
Details
- NPI
- 1154054591
- Entity type
- Individual (NPI-1)
- Name
- Mini Sudheer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2022
- Certification date
- Aug 19, 2022
- Last updated
- Aug 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 276794 | AZ | Yes |
Practice location
655 S Dobson Rd Ste 201Chandler, AZ 85224-5669
Phone 480-307-9477
Mailing address
1124 E Gail DrChandler, AZ 85225-1879
Phone 480-246-7658
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