Individual
CARRIE MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1001 WILLOW CREEK RD STE 1300, PRESCOTT, AZ 86301-1614
(928) 708-4554
(928) 458-2108
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
271551
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271551
BOARD OF NURSING
AZ
Enumeration date
04/05/2022
Last updated
02/06/2025
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