Healthcare Provider Details

I. General information

NPI: 1972596930
Provider Name (Legal Business Name): KAREN H. CARLIN ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN H. ANDERSON ANP

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 04/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8520 E SHEA BLVD STE 100
SCOTTSDALE AZ
85260-6677
US

IV. Provider business mailing address

8520 E SHEA BLVD STE 100
SCOTTSDALE AZ
85260-6677
US

V. Phone/Fax

Practice location:
  • Phone: 480-588-6924
  • Fax: 480-634-5819
Mailing address:
  • Phone: 480-588-6924
  • Fax: 480-634-5819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP1807
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN124198
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: