Individual provider · NPI-1

Mannal J Abdalla, FNP, RN, CSA

Nurse Practitioner, Family · Phoenix, AZ

NPI number1598258014
StatusActive
Last updated in NPPESApr 24, 2024

Details

NPI
1598258014
Entity type
Individual (NPI-1)
Name
Mannal J Abdalla
Credential
FNP, RN, CSA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2018
Certification date
Apr 24, 2024
Last updated
Apr 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyCNP230211AZYes
208600000X SurgeryRN181727AZ

Practice location

18402 N 14th St
Phoenix, AZ 85022-1284

Phone 361-633-9838

Mailing address

18402 N 14th St
Phoenix, AZ 85022-1284

Phone 361-633-9838

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