# CARECETERA HEALTH NETWORK LLC CARECETERA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568178119
- **Authorized official:** CLAUDINE U BLAISE FNP (OWNER)
- **Authorized official phone:** (602) 465-9675

## Contact information

- **Practice address:** 2942 N 24TH ST, PHOENIX, AZ 85016-7844
- **Practice address phone:** (602) 465-9675
- **Mailing address:** 11 ORBIT LN, SAN PEDRO, CA 90732-4461
- **Mailing address phone:** (602) 465-9675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SP0810X | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | Yes |
| 364SP0810X | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2023
- **Last updated:** 04/17/2023