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NPI Code Detail

MEDICARE: DR. CARMEN ROZELLE WASHINGTON EDD, FNP

MEDICARE:  DR. CARMEN ROZELLE WASHINGTON  EDD, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianAP3327AZ
2363LF0000XFamily Nurse PractitionerAP3327AZ

General Provider Information

NPI Number : 1740513316
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARMEN ROZELLE WASHINGTON EDD, FNP
Provider Business Mailing Address
First Line : 2730 W AGUA FRIA FWY
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-7201
Country : US
Telephone Number : 623-434-6698
Fax Number : 623-434-6694
Provider Business Practice Location Address
First Line : 2730 W AGUA FRIA FWY STE 104
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-7202
Country : US
Telephone Number : 623-434-6698
Fax Number : 623-434-6694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2009
Last Update Date : 11/03/2023

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Directions to “ DR. CARMEN ROZELLE WASHINGTON EDD, FNP” Practice Location

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