Individual
CARMEN LYNN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
840 E MCKELLIPS RD, SUITE 101, MESA, AZ 85203-9645
(480) 834-7546
(480) 833-8313
Mailing address
840 E MCKELLIPS RD, SUITE 101, MESA, AZ 85203-9645
(480) 834-7546
(480) 833-8313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP4801
AZ
Other
Enumeration date
01/17/2013
Last updated
01/31/2013
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