Stuart, Carla R

Stuart, Carla R is an individual health care provider with primary practice located at 13640 N Plaza Del Rio Blvd , Peoria AZ 85381-4846. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Stuart, Carla R can be contacted via phone (623) 876-3800.

Contact Information

Primary practice address
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846
Phone: (623) 876-3800
Fax: (623) 972-9590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN070391 Arizona

Profile Details

NPI number 1669422085
LBN Legal business name Stuart, Carla R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 28th, 2008 - about 16 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 1669422085 NPPES
Arizona MEDICAID 618043

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