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Contact Information

NICOLE CARRERA, NP
3707 E SOUTHERN AVE STE 2088
MESA, AZ85206-6220
 Phone: 480-509-7738
 Fax: 480-856-9069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NICOLE CARRERA · (Female)

NPI # 1720410855
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/31/2013
Last updated 06/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # AP10250
  • MI License # 4704277591
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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