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CAROLINE BINGHAM AGPC-NP

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1437669504

Individual Registrant:
 CAROLINE  BINGHAM AGPC-NP
Gender: F
Sole Proprietor

Location and contact information for practice:
12075 AZ STATE ROUTE 69  DEWEY, AZ 86327 US
Tel: 928-772-1673  Fax: --

Contact information for business:
12075 AZ STATE ROUTE 69  DEWEY, AZ 86327 US
Tel: --  Fax: --

Registration Information:
NPI: 1437669504
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
TNRN210224
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AZAP10622
N363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AZAP10622
N363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AZAP10622

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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