Individual
CARRIE SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 N CAMINO PIO DECIMO, TUCSON, AZ 85715-4205
(520) 440-9729
Mailing address
2021 N CAMINO PIO DECIMO, TUCSON, AZ 85715-4205
(520) 440-9729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
329694
AZ
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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