Healthcare Provider Details

I. General information

NPI: 1669164398
Provider Name (Legal Business Name): CARRY ME PRODUCTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3116 S MILL AVE STE 424
TEMPE AZ
85282-3681
US

IV. Provider business mailing address

3116 S MILL AVE STE 424
TEMPE AZ
85282-3681
US

V. Phone/Fax

Practice location:
  • Phone: 602-369-3744
  • Fax:
Mailing address:
  • Phone: 602-369-3744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CARRIE LOUISE NOWOCIN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 602-369-3744