Individual
MS. MARY ANN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
435 E. ALDER, ALSEA, OR 97324-0229
(541) 487-7116
(541) 487-4076
Mailing address
PO BOX 129, ALSEA, OR 97324-0129
(541) 487-7364
(541) 487-4076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
081000957 N1 FNP-PP
OR
Other
Enumeration date
06/10/2005
Last updated
12/29/2009
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