Healthcare Provider Details

I. General information

NPI: 1295457745
Provider Name (Legal Business Name): THUZAR MAUNG FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 S POWER RD STE 202
MESA AZ
85206-5237
US

IV. Provider business mailing address

32099 N THOMPSON RD
QUEEN CREEK AZ
85142-9023
US

V. Phone/Fax

Practice location:
  • Phone: 480-640-7667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF08220314
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number279411
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: