Individual provider · Type 1 NPI

Carly Brooke Pravong, FNP-C

Family Nurse Practitioner · Scottsdale, AZ

NPI number 1396216800 Active

Practice location

10900 N Scottsdale Rd Ste 606
Scottsdale, AZ 85254-5252

Call (480) 368-2500 Map

Mailing address

2234 W Twain Dr
Anthem, AZ 85086-2327

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X219032 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1396216800

Carly Brooke Pravong, FNP-C's National Provider Identifier is 1396216800, issued on Dec 9, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Scottsdale, AZ. The record was last updated on Dec 9, 2018.