Individual
MICHELLE ANN CARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3335 E INDIAN SCHOOL RD STE 150H, PHOENIX, AZ 85018-5025
(480) 646-3221
(985) 251-2854
Mailing address
3335 E INDIAN SCHOOL RD # 150H, PHOENIX, AZ 85018-5025
(480) 646-3221
(985) 251-2854
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP3246
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3246
AZ
363LP2300X
Primary Care Nurse Practitioner
AP3246
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379862
ANTHEM
OH
05
—
2611981
—
OH
Enumeration date
05/22/2006
Last updated
02/14/2024
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