Healthcare Provider Details

I. General information

NPI: 1619314028
Provider Name (Legal Business Name): KARLA JANET NAVARRO AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARLA JANET NAVARRO-DE GUTIERREZ AUD

II. Dates (important events)

Enumeration Date: 05/24/2013
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 MESQUITE AVE STE D
LAKE HAVASU CITY AZ
86403-5889
US

IV. Provider business mailing address

1945 MESQUITE AVE STE D
LAKE HAVASU CITY AZ
86403-5889
US

V. Phone/Fax

Practice location:
  • Phone: 520-343-0498
  • Fax:
Mailing address:
  • Phone: 520-343-0498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberDA11853
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: