Individual provider · Type 1 NPI
Carissa Ann Gaddie
Family Nurse Practitioner · Phoenix, AZ
NPI number
1700617008
Active
Practice location
1441 N 12th St
Phoenix, AZ 85006-2837
Mailing address
2725 E Mine Creek Rd Unit 1135
Phoenix, AZ 85024-6265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 255495 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700617008
Carissa Ann Gaddie's National Provider Identifier is 1700617008, issued on Aug 9, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 9, 2024.