Individual
CARLIE HERRMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
9201 N 33RD PL, PHOENIX, AZ 85028-4903
(602) 819-9386
Mailing address
9201 N 33RD PL, PHOENIX, AZ 85028-4903
(602) 819-9386
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
312593
AZ
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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