Individual
KIMBERLY NICHOLE CARSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
Mailing address
5723 E ENROSE ST, MESA, AZ 85205-5859
(480) 254-0063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN163474
AZ
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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