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Individual

CARYN JENE EPPERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
1200 N BEAVER ST, TRAUMA SERVICES, FLAGSTAFF, AZ 86001-3118
(928) 773-2457
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8414
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136644
AZ
Enumeration date
02/02/2016
Last updated
04/15/2024
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