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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARISSA GORMAN

Active

CARISSA GORMAN is a Pediatric Nutrition healthcare provider located in MESA, Arizona. NPI 1982567392 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nutrition · MESA, AZ

Registration Details

NPI Number
1982567392
Provider Type
Individual
Gender
Unknown
NPI Issued
Dec 3, 2025 (0.67368466677997 yrs)
Last Updated
Dec 3, 2025

Practice Information

Address
1666 S DOBSON RD APT 4062
MESA, AZ, 852021614
Browse AZ providers · Browse ZIP 85202
Phone
6235129626
Primary Specialty
Pediatric Nutrition
133VN1004X
Additional Specialty
Pediatric Nutrition

Other Pediatric Nutrition Providers in MESA, AZ

Name Credential NPI
KIMBERLY JONES 1811452014
DAYNA CLINE RD 1477013472
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.