Organization
CARMEN TRAILL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN L TRAILL PSY NP (MEMBER)
(602) 402-1542
Entity
Organization
Contact information
Practice address
1855 E SOUTHERN AVE, SUITE #201, MESA, AZ 85204-5241
(602) 402-1542
(650) 412-1542
Mailing address
PO BOX 22275, PHOENIX, AZ 85028-0275
(602) 402-1542
(650) 412-1542
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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