Healthcare Provider Details

I. General information

NPI: 1528893559
Provider Name (Legal Business Name): KATHERINE KARST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N 3RD STREET HEALTH NORTH BUILDING, 3RD FLOOR
PHOENIX AZ
85004
US

IV. Provider business mailing address

3147 E REDFIELD RD
GILBERT AZ
85234-5242
US

V. Phone/Fax

Practice location:
  • Phone: 602-496-0907
  • Fax:
Mailing address:
  • Phone: 480-313-2089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number259464
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: