MISS CRISTEN SHERE' CARPENTER


Address: 2602 E Sunland Ave, Phoenix, AZ 85040-3655
Phone: 4807203317

MISS CRISTEN SHERE' CARPENTER (NPI# 1881252369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881252369
Entity Type Individual
Full Name MISS CRISTEN SHERE' CARPENTER
Credential MSN-L, MBA, FNP-C
Practice Address 2602 E Sunland Ave
Phoenix
AZ 85040-3655
Practice Telephone 4807203317
Mailing Telephone 4807203317
Enumeration Date 2019-05-30
Last Update Date 2019-12-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC1600X Registered Nurse
Specialization: Continuing Education/Staff Development
RN159988 AZ Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
235698 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2602 E SUNLAND AVE
City PHOENIX
State AZ
Zip Code 85040-3655

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85040

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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