Individual provider · Type 1 NPI
Manju Thomson, MSN. CPNP
Pediatric Nurse Practitioner · Mesa, AZ
NPI number
1972931640
Active
Practice location
4540 E Baseline Rd Ste 108
Mesa, AZ 85206-4616
Fax (480) 545-4551
Mailing address
25810 N 50th Gln
Phoenix, AZ 85083-1848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP5226 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
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About NPI 1972931640
Manju Thomson, MSN. CPNP's National Provider Identifier is 1972931640, issued on Oct 16, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mesa, AZ. The record was last updated on Jun 8, 2023.