Individual provider · Type 1 NPI

Carol C. Peru

School Registered Nurse · Mesa, AZ

NPI number 1104042746 Active

Practice location

1025 N Country Club Dr
Mesa, AZ 85201-3307

Fax (480) 472-0705

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200XRN042979 (AZ)

School Registered Nurse: Definition to come...

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About NPI 1104042746

Carol C. Peru's National Provider Identifier is 1104042746, issued on Apr 18, 2007. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Mesa, AZ. The record was last updated on Jul 9, 2007.