Individual
CARRIE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20185 E OCOTILLO RD STE 104, QUEEN CREEK, AZ 85142
(480) 704-3474
(888) 221-2541
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN119519
AZ
Other
Enumeration date
08/31/2016
Last updated
08/07/2024
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