Provider Demographics
NPI:1700495306
Name:CARTY, KARMA SELINA (MSN, APRN, FNP- C)
Entity Type:Individual
Prefix:
First Name:KARMA
Middle Name:SELINA
Last Name:CARTY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP- C
Other - Prefix:
Other - First Name:KARMA
Other - Middle Name:SELINA
Other - Last Name:MAXWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 43160
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-3160
Mailing Address - Country:US
Mailing Address - Phone:520-297-0404
Mailing Address - Fax:520-297-0436
Practice Address - Street 1:5910 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3535
Practice Address - Country:US
Practice Address - Phone:520-297-0404
Practice Address - Fax:520-297-0436
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ243683363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ082883Medicaid