Individual
CARMEN DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9169 W VAN BUREN ST, TOLLESON, AZ 85353-2942
(602) 283-5732
Mailing address
8461 W HEATHER CT, GLENDALE, AZ 85305-6972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10972
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP10972
ARIZONA STATE BOARD LICENSE
AZ
Enumeration date
03/13/2018
Last updated
04/02/2018
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