Provider Demographics
NPI:1225590375
Name:MANSOOR, NAYLA (PA-C)
Entity Type:Individual
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First Name:NAYLA
Middle Name:
Last Name:MANSOOR
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:20401 N 73RD ST STE 230
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4153
Mailing Address - Country:US
Mailing Address - Phone:480-556-0446
Mailing Address - Fax:480-556-0447
Practice Address - Street 1:19646 N 27TH AVE STE 305
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4027
Practice Address - Country:US
Practice Address - Phone:480-556-0446
Practice Address - Fax:480-556-0447
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-05
Last Update Date:2023-11-09
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Provider Licenses
StateLicense IDTaxonomies
AZ7703363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical