Provider Demographics
NPI:1134452337
Name:GIARRIZZO, KARI LYNN (PA)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:GIARRIZZO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:LYNN
Other - Last Name:HUENI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20715 E OCOTILLO RD STE 102
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-6118
Mailing Address - Country:US
Mailing Address - Phone:480-987-0987
Mailing Address - Fax:480-987-0940
Practice Address - Street 1:20715 E OCOTILLO RD STE 102
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-6118
Practice Address - Country:US
Practice Address - Phone:480-987-0987
Practice Address - Fax:480-987-0940
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5584363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant