Provider Demographics
NPI:1033282058
Name:KRAMER, CAROL B (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:B
Last Name:KRAMER
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:9201 E MOUNTAIN VIEW RD STE 220
Mailing Address - Street 2:ATTENTION MATRIX CREDENTIALING TEAM
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5172
Mailing Address - Country:US
Mailing Address - Phone:877-564-3627
Mailing Address - Fax:877-506-4560
Practice Address - Street 1:9201 E MOUNTAIN VIEW RD
Practice Address - Street 2:SUITE 220
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5199
Practice Address - Country:US
Practice Address - Phone:877-564-3627
Practice Address - Fax:877-506-4560
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2013-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP012808363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAD273ZMedicare UPIN