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Contact Information

MANNAL J ABDALLA, FNP, RN, CSA
18402 N 14TH ST
PHOENIX, AZ85022-1284
 Phone: 361-633-9838
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MANNAL J ABDALLA · (Female)

NPI # 1598258014
Status Active
Credentials FNP, RN, CSA
Entity Individual
Enumeration date 06/08/2018
Last updated 04/24/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # CNP230211
  • AZ License # RN181727
  • AZ Other 17-603 AMERICAN BOARD OF SURGICAL ASSISTANTS; SURGICAL FIRST ASSIST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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