Healthcare Provider Details

I. General information

NPI: 1013756865
Provider Name (Legal Business Name): ROBY CHERIAN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 05/22/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 E BELL RD
PHOENIX AZ
85032-2138
US

IV. Provider business mailing address

1554 E MONTEREY ST
CHANDLER AZ
85225-5356
US

V. Phone/Fax

Practice location:
  • Phone: 602-675-2585
  • Fax:
Mailing address:
  • Phone: 502-544-5565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number307336
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: