Individual
LUKE PAUL CARBONELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 E GERMANN RD STE 150, GILBERT, AZ 85297-2909
(602) 999-0203
Mailing address
225 E GERMANN RD STE 150, GILBERT, AZ 85297-2909
(602) 999-0203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
288166
AZ
Other
Enumeration date
11/11/2022
Last updated
02/22/2023
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