Provider Demographics
NPI:1811225121
Name:CARRIGAN, TOWANDA ROCHELLE
Entity Type:Individual
Prefix:MS
First Name:TOWANDA
Middle Name:ROCHELLE
Last Name:CARRIGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 N MONDEL DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-4113
Mailing Address - Country:US
Mailing Address - Phone:480-862-6432
Mailing Address - Fax:602-276-1984
Practice Address - Street 1:557 N MONDEL DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-4113
Practice Address - Country:US
Practice Address - Phone:480-862-6432
Practice Address - Fax:602-276-1984
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant