Provider Demographics
NPI:1932134376
Name:KARLIN, ARLENE R (CNM, FNP)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:R
Last Name:KARLIN
Suffix:
Gender:F
Credentials:CNM, FNP
Other - Prefix:
Other - First Name:ARLENE
Other - Middle Name:
Other - Last Name:HANIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2929 E THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-8034
Mailing Address - Country:US
Mailing Address - Phone:602-470-5000
Mailing Address - Fax:
Practice Address - Street 1:4011 N 51ST AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85031-2601
Practice Address - Country:US
Practice Address - Phone:623-344-6900
Practice Address - Fax:623-344-6969
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ043806367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ405557Medicaid
AZZ24188Medicare PIN
AZZ134318Medicare PIN
S42031Medicare UPIN