Individual
VICTORIA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21772 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142-7709
(480) 512-3700
Mailing address
21772 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142-7709
(480) 512-3700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN199920
AZ
363L00000X
Nurse Practitioner
Primary
280163
AZ
Other
Enumeration date
08/18/2022
Last updated
04/20/2023
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