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Individual

CAROLYN WENDY TELLEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMH-NP

Contact information

Practice address
9802 W BELL RD UNIT 1217, SUN CITY, AZ 85372-7010
(520) 244-4680
(623) 666-5795
Mailing address
9802 W BELL RD UNIT 1217, SUN CITY, AZ 85372-7010
(520) 244-4680
(623) 666-5795

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN179578
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11453
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
421574
AZ
Enumeration date
04/23/2018
Last updated
05/06/2025
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