Omondi, Caren Adhiambo
Omondi, Caren Adhiambo is an sole proprietor health care provider with primary practice located at 13540 W Camino Del Sol Ste 3, Sun City West AZ 85375-4435. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Omondi, Caren Adhiambo can be contacted via phone (602) 693-6963.Contact Information
Primary practice address
13540 W Camino Del Sol Ste 3
Sun City West AZ 85375-4435
Phone: (602) 693-6963
Fax: (844) 628-1655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP8487 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP8487 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP8487 | Arizona |
Profile Details
| NPI number | 1750759395 |
|---|---|
| LBN Legal business name | Omondi, Caren Adhiambo |
| Credentials | PMHNP, FNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2015 |
| Last updated | Aug 6th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750759395 | NPPES |
| Arizona | MEDICAID | 1139936 | |
| Arizona | MEDICAID | 160368 | |
| Arizona | Other | Z201246 |
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