Individual
CARLA R STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 972-9590
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 972-9590
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN070391
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
618043
—
AZ
Enumeration date
05/10/2006
Last updated
01/28/2008
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