Individual
MR. MARK ANTHONY CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, ACNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-2030
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14220842
CAQH
NV
Enumeration date
12/10/2012
Last updated
04/11/2024
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