Individual
MS. CARLA ANN MUNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4601 E BROADWAY BLVD, TUCSON, AZ 85711-3511
(520) 399-6000
(520) 399-6002
Mailing address
4601 E BROADWAY BLVD, TUCSON, AZ 85711-3511
(520) 399-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
110418
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025224900
—
NE
05
—
10025225100
—
NE
05
—
47037661200
—
NE
05
—
47037661202
—
NE
Enumeration date
06/04/2006
Last updated
02/16/2022
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