Provider Demographics
NPI:1346393964
Name:EYNON, KAREN S (PNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:S
Last Name:EYNON
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9827 N 95TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4591
Mailing Address - Country:US
Mailing Address - Phone:480-860-8488
Mailing Address - Fax:480-860-8498
Practice Address - Street 1:9827 N 95TH ST STE 105
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4591
Practice Address - Country:US
Practice Address - Phone:480-860-8488
Practice Address - Fax:480-860-8498
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP0129363LF0000X
AZAPO129363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily