Individual
BRYAN PATRICK CARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1736 FLORENCE AVE, KINGMAN, AZ 86401-5137
(949) 290-8872
Mailing address
1736 FLORENCE AVE, KINGMAN, AZ 86401-5137
(949) 290-8872
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RNP309460
AZ
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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