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Individual

MRS. CARISSA NORIEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
10238 E HAMPTON AVE, #507, MESA, AZ 85209-3316
(480) 821-3616
Mailing address
10238 E HAMPTON AVE, #507, MESA, AZ 85209-3316
(480) 821-3616

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP8877
AZ

Other

Enumeration date
08/01/2016
Last updated
08/24/2016
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