Individual
CARLY N. SIROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
483 WEST SEED FARM RD, SACATON, AZ 85147
(602) 528-1200
(602) 552-8125
Mailing address
483 WEST SEED FARM RD, SACATON, AZ 85147-0001
(602) 528-1200
(602) 552-8125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4835
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP4835
ADVANCED PRACTITIONER
AZ
Enumeration date
02/01/2013
Last updated
10/06/2015
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