Healthcare Provider Details

I. General information

NPI: 1134452337
Provider Name (Legal Business Name): KARI LYNN GIARRIZZO P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARI LYNN HUENI

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 01/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20715 E OCOTILLO RD STE 102
QUEEN CREEK AZ
85142-6118
US

IV. Provider business mailing address

20715 E OCOTILLO RD STE 102
QUEEN CREEK AZ
85142-6118
US

V. Phone/Fax

Practice location:
  • Phone: 480-987-0987
  • Fax: 480-987-0940
Mailing address:
  • Phone: 480-987-0987
  • Fax: 480-987-0940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5584
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: