Healthcare Provider Details
I. General information
NPI: 1982926226
Provider Name (Legal Business Name): KATHLEEN ANN KARASZEWSKI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/26/2010
Last Update Date: 10/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2828 N STONE AVE
TUCSON AZ
85705-4503
US
IV. Provider business mailing address
2828 N STONE AVE
TUCSON AZ
85705-4503
US
V. Phone/Fax
- Phone: 520-622-4580
- Fax: 520-306-3033
- Phone: 520-622-4580
- Fax: 520-306-3033
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP3583 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: