Individual
MRS. COLLEEN A MCCARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6828 E BROWN RD STE 102, MESA, AZ 85207-3761
(480) 981-8650
(480) 981-1563
Mailing address
9832 E GLENCOVE ST, MESA, AZ 85207-4444
(480) 220-8205
(480) 984-8792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN0345797
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z2150
HEALTHNET
—
05
—
917700
—
AZ
Enumeration date
04/18/2006
Last updated
07/01/2013
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