Krishnamenon, Manju M

Krishnamenon, Manju M is an individual health care provider with primary practice located at 1774 E Scorpio Pl , Chandler AZ 85249-3995. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Krishnamenon, Manju M can be contacted via phone (602) 466-8281.

Contact Information

Primary practice address
1774 E Scorpio Pl Chandler AZ 85249-3995
Phone: (602) 466-8281
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X TAP4027 Arizona

Profile Details

NPI number 1366733560
LBN Legal business name Krishnamenon, Manju M
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2011
Last updated Mar 9th, 2024 - about last year

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 1366733560 NPPES
Arizona MEDICAID 67916040

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