Individual
CARRIE ANNE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 773-4032
Mailing address
697 N PINECLIFF DR, FLAGSTAFF, AZ 86001-3364
(928) 600-3926
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
134661
AZ
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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