Provider Demographics
NPI:1336243518
Name:MAU, KARI L (DNP)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:L
Last Name:MAU
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:L
Other - Last Name:GRICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:40314 N EXPLORATION TRL
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-1641
Mailing Address - Country:US
Mailing Address - Phone:623-322-5887
Mailing Address - Fax:480-970-7664
Practice Address - Street 1:1395 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3901
Practice Address - Country:US
Practice Address - Phone:912-356-2158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1523363LW0102X
AZRN1079411363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health