Individual
BREANNE CARMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2632 E THOMAS RD STE 100, PHOENIX, AZ 85016-8220
(602) 872-5960
Mailing address
2632 E THOMAS RD STE 100, PHOENIX, AZ 85016-8220
(602) 872-5960
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN205199
AZ
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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