Provider Demographics
NPI:1649370248
Name:DEZORZI, KARLA S (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:S
Last Name:DEZORZI
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8286 N SABLE WAY
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86315-7827
Mailing Address - Country:US
Mailing Address - Phone:928-379-7053
Mailing Address - Fax:
Practice Address - Street 1:1110 E MISSOURI AVE STE 340
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2753
Practice Address - Country:US
Practice Address - Phone:928-379-7053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP0806363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health