Individual
MS. KAREN LYNNE VAN WIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MS, PSY-MH NP
Contact information
Practice address
2925 N CAMPBELL AVE, TUCSON, AZ 85719-2801
(520) 461-9880
(520) 578-6416
Mailing address
4705 W MONTANA ST, TUCSON, AZ 85757-9395
(520) 461-9880
(520) 578-6416
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN037770
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP2195
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948408
—
AZ
Enumeration date
08/09/2006
Last updated
08/10/2011
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