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General NPI Number Information
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NPI Number | 1902801236
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Entity Type | Individual
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Provider Name | CARRIE BETH SOLODKY ND MSN ANP-C
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Gender | Female
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 3805 E BELL RD SUITE 3100
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City | PHOENIX
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State | AZ
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Zip | 85032-3345
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Country | US
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Telephone | 602-867-8644
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Fax | 602-795-5698
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Provider Business Mailing Address
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Address Line | 14780 W MOUNTAIN VIEW BLVD STE 110
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City | SURPRISE
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State | AZ
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Zip | 85374-7280
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Country | US
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Telephone | 623-322-6923
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Fax | 855-420-6361
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN104543
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License Number State | AZ
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