# CARMEN PATRICIA BORN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053798199
- **Gender:** F
- **Credential:** PMHNP-BC, RN, LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225700000X | Massage Therapist | 29408 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 295014 | AZ | Yes |

## Other

- **Enumeration date:** 04/28/2015
- **Last updated:** 03/21/2024