Provider Demographics
NPI:1134213853
Name:MYERS, KARIN A (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:A
Last Name:MYERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:KARIN
Other - Middle Name:A
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4729 E SUNRISE DR. #414
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-4534
Mailing Address - Country:US
Mailing Address - Phone:520-382-3330
Mailing Address - Fax:520-382-3340
Practice Address - Street 1:7418 N. LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2306
Practice Address - Country:US
Practice Address - Phone:520-731-1110
Practice Address - Fax:520-731-6582
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2651174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
71181Medicare ID - Type Unspecified
P65060Medicare UPIN