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NPI Code Detail

MEDICARE: MS. CAROL A AYRAUD R.N.

MEDICARE:  MS. CAROL A AYRAUD  R.N.
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
1163WS0200XSchool Registered NurseRN023299AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144368374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL A AYRAUD R.N.
Provider Business Mailing Address
First Line : 5601 N 16TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-2903
Country : US
Telephone Number : 602-664-7931
Fax Number : 602-664-7998
Provider Business Practice Location Address
First Line : 5525 N 16TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-2901
Country : US
Telephone Number : 602-664-7120
Fax Number : 602-664-7199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 07/08/2007

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Directions to “ MS. CAROL A AYRAUD R.N.” Practice Location

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