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NPI Code Detail

MEDICARE: KYLIE CARR FNP

MEDICARE: KYLIE CARR 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
1363LF0000XFamily Nurse PractitionerAP10452AZ

General Provider Information

NPI Number : 1730607912
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE CARR FNP
Provider Business Mailing Address
First Line : PO BOX 188
Second Line :
City : MARANA
State : AZ
Zip : 85653-0188
Country : US
Telephone Number : 520-682-4111
Fax Number : 520-818-3630
Provider Business Practice Location Address
First Line : 16701 N ORACLE RD STE 135
Second Line :
City : TUCSON
State : AZ
Zip : 85739-9102
Country : US
Telephone Number : 520-825-6763
Fax Number : 520-825-6841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2017
Last Update Date : 09/07/2017

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Directions to “ KYLIE CARR FNP” Practice Location

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