# MRS. CAREN ADHIAMBO OMONDI

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

## Provider details

- **NPI number:** 1750759395
- **Gender:** F
- **Credential:** PMHNP, FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | AP8487 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP8487 | AZ | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | AP8487 | AZ | — |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 08/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1139936 | — | AZ |
| 05 | — | 160368 | — | AZ |
| 01 | — | Z201246 | MEDICARE | AZ |