Provider Demographics
NPI:1376544882
Name:WOOLF, KAREN SUE (ANP-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:WOOLF
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 N 85TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5907
Mailing Address - Country:US
Mailing Address - Phone:602-702-4318
Mailing Address - Fax:480-945-0183
Practice Address - Street 1:3130 N 85TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5907
Practice Address - Country:US
Practice Address - Phone:602-702-4318
Practice Address - Fax:480-945-0183
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN039031363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ426389OtherAHCCS
AZAPIPAOtherAPIPA
AZPNP13WOOLKA1OtherMERCY CARE
AZ426389OtherAHCCS