Abdalla, Mannal J

Abdalla, Mannal J is an individual health care provider with primary practice located at 18402 N 14Th St , Phoenix AZ 85022-1284. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Abdalla, Mannal J can be contacted via phone (361) 633-9838.

Contact Information

Primary practice address
18402 N 14Th St Phoenix AZ 85022-1284
Phone: (361) 633-9838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X RN181727 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP230211 Arizona

Profile Details

NPI number 1598258014
LBN Legal business name Abdalla, Mannal J
Credentials FNP, RN, CSA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2018
Last updated Apr 24th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598258014 NPPES
Arizona Other 17-603 AMERICAN BOARD OF SURGICAL ASSISTANTS; SURGICAL FIRST ASSIST

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