CARLY BROOKE PRAVONG

SCOTTSDALE, AZ
NPI1396216800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  219032)
Enumeration Date2018-12-09
Last Update Date2018-12-09
Business Address
CARLY BROOKE PRAVONG FNP-C
10900 N SCOTTSDALE RD STE 606
SCOTTSDALE, AZ 85254-5252
Phone number: 480-368-2500
Mailing Address
CARLY BROOKE PRAVONG FNP-C
2234 W TWAIN DR
ANTHEM, AZ 85086-2327
Phone number: 623-399-0119
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