Individual
FAITH M CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1101 N CENTRAL AVE, STE 200, PHOENIX, AZ 85004-1808
(602) 307-5330
(602) 253-3251
Mailing address
1101 N CENTRAL AVE STE 200, PHOENIX, AZ 85004-1844
(602) 307-5330
(602) 253-3251
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP5218
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
932619
—
AZ
Enumeration date
04/06/2011
Last updated
07/20/2016
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