Individual
MS. ROXANNE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
6259 ROUND TABLE DR, PRESCOTT VALLEY, AZ 86314-2652
(928) 499-7302
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN145588
AZ
163WM0705X
Medical-Surgical Registered Nurse
RN145588
AZ
163WP0000X
Pain Management Registered Nurse
RN145588
AZ
163WP2201X
Ambulatory Care Registered Nurse
RN145588
AZ
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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