Individual
KARA M DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
7425 E SHEA BLVD STE 101, SCOTTSDALE, AZ 85260-6411
(480) 609-8100
Mailing address
808 E CAVALIER DR, PHOENIX, AZ 85014-1910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
280131
AZ
363LP0200X
Pediatric Nurse Practitioner
280131
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151541
—
AZ
Enumeration date
09/09/2022
Last updated
10/07/2024
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