Healthcare Provider Details

I. General information

NPI: 1609873389
Provider Name (Legal Business Name): KAREN ELIZABETH RICH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 03/04/2012
Certification Date:
Deactivation Date: 03/20/2006
Reactivation Date: 04/04/2006

III. Provider practice location address

8111 E THOMAS RD STE 124
SCOTTSDALE AZ
85251-5876
US

IV. Provider business mailing address

8111 E THOMAS RD STE 124
SCOTTSDALE AZ
85251-5876
US

V. Phone/Fax

Practice location:
  • Phone: 602-954-0444
  • Fax: 602-952-7146
Mailing address:
  • Phone: 602-954-0444
  • Fax: 602-952-7146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberGNP024
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: