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Caron Constance Pedersen

Independent Medical Examiner Nurse Practitioner - Family Medicine

290 S Alma School Rd # 5
Chandler , Arizona 85224-7632

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Caron Constance Pedersen

Independent Medical Examiner Nurse Practitioner - Family Medicine

290 S Alma School Rd # 5
Chandler , Arizona 85224-7632

(480) 659-2057

Write a Review Save Call

Caron Constance Pedersen

Independent Medical Examiner Nurse Practitioner - Family Medicine

290 S Alma School Rd # 5
Chandler , Arizona 85224-7632

(480) 659-2057 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Independent Medical Examiner
  • Nurse Practitioner - Family Medicine

Languages spoken

  • English

Location

290 S Alma School Rd # 5 Chandler , Arizona 85224-7632

First Address

  • Caron Constance Pedersen
  • 290 S Alma School Rd # 5
  • Chandler, AZ
  • Zip : 85224-7632
  • Fax : (480) 659-2057
  • Phone : (480) 659-5013

Second Address

  • Caron Constance Pedersen
  • 290 S Alma School Rd # 5
  • Chandler, AZ
  • Zip : 85224-7632
  • Fax : (480) 659-2057
  • Phone : (480) 659-5013

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FAQs


Where did Caron Constance Pedersen attend graduate school?

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Where did Caron Constance Pedersen do her residency?

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Where did Caron Constance Pedersen do her fellowship?

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Is Caron Constance Pedersen board certified?

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What type of doctor is Caron Constance Pedersen

Nurse Practitioner - Family Medicine

In what state does Caron Constance Pedersen practice in?

Arizona

Where is Caron Constance Pedersen ’s practice located?

290 S Alma School Rd # 5 , Chandler, Arizona, 85224-7632

What is Caron Constance Pedersen ’s gender?

Female

Is Caron Constance Pedersen a sole practitioner?

No

Is Caron Constance Pedersen accepting new patients?

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What languages does Caron Constance Pedersen speak?

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Does Caron Constance Pedersen accept insurance?

Yes, Caron Constance Pedersen accepts insurance

Does Caron Constance Pedersen offers telemedicine?

Caron Constance Pedersen has not indicated if she offers telemedicine

What is Caron Constance Pedersen ’s professional license number?

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What is Caron Constance Pedersen ’s NPI number?

1194968693

Does Caron Constance Pedersen have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 111NI0013X Independent Medical Examiner 5882 AZ
Y 363LF0000X Nurse Practitioner - Family Medicine AP7572 AZ

National Provider Identifier

NPI 1194968693
Provider Name Caron Constance Pedersen
First Address Chandler, AZ 85224-7632
Second Address Chandler, AZ 85224-7632
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 13/04/2009
Last Update Date 30/11/2016

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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