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MR. BRYCE CARTER FNP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1790150738

Individual Registrant:
MR. BRYCE  CARTER FNP
Gender: M
Sole Proprietor

Location and contact information for practice:
500 INDIANA AVE  WINSLOW, AZ 86047-2169 US
Tel: 928-289-6119  Fax: --

Contact information for business:
500 INDIANA AVE  WINSLOW, AZ 86047-2169 US
Tel: 928-289-6119  Fax: --

Registration Information:
NPI: 1790150738
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AZ220732

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
020529AZ05




HEALTH CARE JOBS AZ - Page 1



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