Modrzejewski, Karen Lynn

Modrzejewski, Karen Lynn is an individual health care provider with primary practice located at 13395 N Marana Main St Bldg B , Marana AZ 85653-7008. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Modrzejewski, Karen Lynn can be contacted via phone (520) 682-1091.

Contact Information

Primary practice address
13395 N Marana Main St Bldg B Marana AZ 85653-7008
Phone: (520) 682-1091
Fax: (520) 682-4132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP10946 Arizona
Nursing Service Providers / Registered Nurse 163W00000X 114985 Arizona

Profile Details

NPI number 1831491059
LBN Legal business name Modrzejewski, Karen Lynn
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2010
Last updated Jul 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831491059 NPPES
Arizona MEDICAID 354315

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