Mundt, Carla Ann

Mundt, Carla Ann is an sole proprietor health care provider with primary practice located at 4601 E Broadway Blvd , Tucson AZ 85711-3511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mundt, Carla Ann can be contacted via phone (520) 399-6000.

Contact Information

Primary practice address
4601 E Broadway Blvd Tucson AZ 85711-3511
Phone: (520) 399-6000
Fax: (520) 399-6002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 110418 Nebraska

Profile Details

NPI number 1255379699
LBN Legal business name Mundt, Carla Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2006
Last updated Feb 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255379699 NPPES
Nebraska MEDICAID 10025224900
Nebraska MEDICAID 47037661200
Nebraska MEDICAID 10025225100
Nebraska MEDICAID 47037661202

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