Individual
CAROLANN BISBANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4502 N CENTRAL AVE, PHOENIX, AZ 85012-1817
(602) 764-1100
Mailing address
1724 W CLAREMONT ST, PHOENIX, AZ 85015-2028
(602) 803-2625
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
142445
AZ
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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