Individual
MRS. CAREN ADHIAMBO OMONDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
13540 W CAMINO DEL SOL, STE 3, SUN CITY WEST, AZ 85375-4435
(602) 693-6963
(844) 628-1655
Mailing address
13540 W CAMINO DEL SOL, STE 3, SUN CITY WEST, AZ 85375-4435
(602) 693-6963
(844) 628-1655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP8487
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP8487
AZ
363LP2300X
Primary Care Nurse Practitioner
AP8487
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1139936
—
AZ
05
—
160368
—
AZ
01
—
Z201246
MEDICARE
AZ
Enumeration date
09/14/2015
Last updated
08/06/2024
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