Omondi, Caren A

Omondi, Caren A is an sole proprietor health care provider with primary practice located at 13540 W Camino Del Sol Ste 3 , Sun City West AZ 85375-4435. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Omondi, Caren A can be contacted via phone (623) 584-8923.

Contact Information

Primary practice address
13540 W Camino Del Sol Ste 3 Sun City West AZ 85375-4435
Phone: (623) 584-8923
Fax: (844) 628-1655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP8487 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP8487 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP8487 Arizona

Profile Details

NPI number 1750759395
LBN Legal business name Omondi, Caren A
Credentials PMHNP, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2015
Last updated Jun 26th, 2024 - about 5 months 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 1750759395 NPPES
Arizona MEDICAID 1139936

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