Van Wie, Karen Lynne

Van Wie, Karen Lynne is an sole proprietor health care provider with primary practice located at 2925 N Campbell Ave , Tucson AZ 85719-2801. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Van Wie, Karen Lynne can be contacted via phone (520) 461-9880.

Contact Information

Primary practice address
2925 N Campbell Ave Tucson AZ 85719-2801
Phone: (520) 461-9880
Fax: (520) 578-6416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN037770 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP2195 Arizona

Profile Details

NPI number 1992715379
LBN Legal business name Van Wie, Karen Lynne
Credentials RN MS, PSY-MH NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Aug 10th, 2011 - about 13 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 1992715379 NPPES
Arizona MEDICAID 948408

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