Individual
CARALINE RISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11851 N 51ST AVE STE B110, GLENDALE, AZ 85304-2823
(480) 882-4545
(623) 773-2267
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7947
AZ
363AM0700X
Medical Physician Assistant
7947
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083939
—
AZ
Enumeration date
12/19/2019
Last updated
03/08/2023
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