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Individual
LUIS CARRERA
Active
Individual
LUIS CARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP, ANP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
AP10145
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10145
AZ
363LP2300X
Primary Care Nurse Practitioner
0024173162
VA
Other
Enumeration date
01/22/2016
Last updated
03/26/2021
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