Erica Carreon, FNP-BC | |
616 E Southern Ave, Mesa, AZ 85204-4941 | |
(602) 569-3999 | |
Not Available |
Full Name | Erica Carreon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 616 E Southern Ave, Mesa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902682248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RNP296911 (Arizona) | Primary |
Entity Name | Clinica La Familia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780668921 PECOS PAC ID: 4082694781 Enrollment ID: O20040722001287 |
Mailing Address | Practice Location Address |
---|---|
Erica Carreon, FNP-BC Po Box 51662, Mesa, AZ 85208-0084 Ph: (602) 503-5605 | Erica Carreon, FNP-BC 616 E Southern Ave, Mesa, AZ 85204-4941 Ph: (602) 569-3999 |
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