Individual
MR. SCOTT DAVID CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGANP-BC
Contact information
Practice address
10301 GATEWAY BLVD W, INTERVENTIONAL RADIOLOGY, EL PASO, TX 79925-7701
(915) 595-9000
Mailing address
3805 E BELL RD, SUITE 5500, PHOENIX, AZ 85032-2105
(866) 891-1336
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP131945
TX
363LA2200X
Adult Health Nurse Practitioner
AP131945
TX
363LG0600X
Gerontology Nurse Practitioner
AP131945
TX
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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