Most Relevant Information
Provider Data
| NPI Number: | 1003538844 |
| Provider Name: | MANDEEP KAUR SIDHU PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 281017 |
Most Important Dates
| Enumeration Date: | 09/19/2022 |
| Last Updated: | 08/11/2023 |
Provider Practice Location
4220 N 20TH AVE
PHOENIX
AZ
850155124
Practice Location Phone/Fax
| Phone: | 6238721818 |
| Fax: | 6238721819 |
Provider Mailing Location
11836 N 96TH PL
SCOTTSDALE
AZ
852605962
Provider Mailing Phone/Fax
| Phone: | 4807984577 |
| Fax: |