Individual
CARLA DENISE ROUSE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
5651 N 7TH ST, PHOENIX, AZ 85014-2500
(602) 277-7526
Mailing address
5651 N 7TH ST, PHOENIX, AZ 85014-2500
(602) 277-7526
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN107981
AZ
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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