Healthcare Provider Details

I. General information

NPI: 1821950593
Provider Name (Legal Business Name): CARMEN MOLINARI PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12936 W BLUE BONNET DR
SUN CITY WEST AZ
85375-2538
US

IV. Provider business mailing address

12936 W BLUE BONNET DR
SUN CITY WEST AZ
85375-2538
US

V. Phone/Fax

Practice location:
  • Phone: 602-754-5014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number332174
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: