Individual
CARLA MARIE PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3900 N SABINO CANYON RD, TUCSON, AZ 85750-2130
(520) 324-1301
(520) 324-1345
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-2308
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
221557
AZ
363LA2200X
Adult Health Nurse Practitioner
R34202
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
597006
—
AZ
Enumeration date
09/23/2013
Last updated
09/29/2021
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