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Susannamma Lijan, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona
NPI 1003424102

Susannamma Lijan is a Psychiatric/Mental Health Nurse Practitioner based in Phoenix, AZ and is specialized in Psychiatric/Mental Health. Susannamma Lijan practices in Phoenix, AZ and has the professional credentials of PMHNP. The NPI Number for Susannamma Lijan is 1003424102 and holds a License No. 246807 (Arizona).

The current practice location address for Susannamma Lijan is 2601 E Roosevelt St, Phoenix, AZ and can be reached out via phone at 602-344-5345.

Location: 2601 E Roosevelt St, Phoenix, AZ, 85008-4973
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Provider Profile Details
NPI Number
1003424102
Provider Name
Susannamma Lijan
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
2601 E Roosevelt St, Phoenix, AZ, 85008-4973
Phone Number
602-344-5345
Fax Number
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2601 E Roosevelt St
City
State
Zip
85008-4973
Phone Number
602-344-5345
Fax Number
person
Provider Business Mailing Address Details
Address
2601 E Roosevelt St
City
State
Zip
85008-4973
Phone Number
602-344-5345
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
246807 (Arizona)
Definition
Definition to come...
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