Carrie Susanne Bann
Nurse Practitioner - Psychiatric/Mental Health
5130 E Gary St
Mesa
, Arizona 85205-6873
Carrie Susanne Bann
Nurse Practitioner - Psychiatric/Mental Health
5130 E Gary St
Mesa
, Arizona 85205-6873
(919) 389-8365
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Carrie Susanne Bann
- 5130 E Gary St
- Mesa, AZ
- Zip : 85205-6873
- Phone : (919) 389-8365
Second Address
- Carrie Susanne Bann
- 5130 E Gary St
- Mesa, AZ
- Zip : 85205-6873
- Phone : (919) 389-8365
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 250919 | AZ |
National Provider Identifier
| NPI | 1023769023 |
|---|---|
| Provider Name | Carrie Susanne Bann |
| First Address | Mesa, AZ 85205-6873 |
| Second Address | Mesa, AZ 85205-6873 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2022 |
| Last Update Date | 12/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.