Carly Kowalczyk, fnp-c
Nurse Practitioner, Family in Tempe, AZ. Individual provider (NPI-1).
NPI number1982017356
StatusActive
Last updated in NPPESFeb 18, 2016
Details
- NPI
- 1982017356
- Entity type
- Individual (NPI-1)
- Name
- Carly Kowalczyk
- Credential
- fnp-c
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2014
- Last updated
- Feb 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ap5607 | AZ | Yes |
Practice location
51 W 3rd StSuite 500
Tempe, AZ 85281-2831
Phone 480-524-1600
Mailing address
51w 3rd St 500Tempe, AZ 85281-2871
Phone 480-237-5098 · Fax 877-358-8109
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