NICOLE CARRERA NP NPI 1720410855

NPI Information

  • NPI: 1720410855
  • Provider Name: NICOLE CARRERA, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3707 E SOUTHERN AVE STE 2088
    MESA, AZ
    ZIP 85206
  • Phone: (480) 509-7738

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NPI Details

Nicole Carrera, NP is a psychiatric/mental health nurse practitioner in Mesa, AZ. Nicole Carrera, NP NPI is 1720410855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3707 E SOUTHERN AVE STE 2088
MESA, AZ
ZIP 85206-220
Phone: (480) 509-7738
Fax: (480) 856-9069

The NPI 1720410855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2013 and was last updated on 6/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP10250ARIZONAYes
2363L00000XNurse Practitioner4704277591MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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