Individual provider · NPI-1

Emma J Anderson

Nurse Practitioner, Pediatrics · Phoenix, AZ

NPI number1295525491
StatusActive
Last updated in NPPESJun 24, 2025

Details

NPI
1295525491
Entity type
Individual (NPI-1)
Name
Emma J Anderson
Sex
Female
Sole proprietor
No
Enumeration date
May 9, 2025
Certification date
Jun 24, 2025
Last updated
Jun 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics234391AZYes
363LP0200X Nurse Practitioner, Pediatrics1066951TX

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Phone 602-933-0970

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Phone 602-933-3124

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