Individual provider · Type 1 NPI

Susannamma Lijan, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ

NPI number 1003424102 Active

Practice location

6850 W Indian School Rd
Phoenix, AZ 85033-3300

Mailing address

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X246807 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003424102

Susannamma Lijan, PMHNP's National Provider Identifier is 1003424102, issued on Jul 15, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 2, 2025.