Doctor Name: | CHERYL L CARSTENS |
NPI Number: | 1215907654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AP1346 |
Business Practice Address: | 620 Lee St Winslow, AZ - 860472435 |
Business Phone Number: | 9282136121 |
Business Fax Number: | |
Mailing Address: | Po Box 3630, FLAGSTAFF |
State: | AZ |
Postal Code: | 860033630 |
Phone Number: | 9282136121 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | AP1346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |