Provider Demographics
NPI:1871204685
Name:LORINCY, KARLA MICHELLE (MSN-FNP, RN)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MICHELLE
Last Name:LORINCY
Suffix:
Gender:F
Credentials:MSN-FNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7810 N 14TH PL APT 1025
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4338
Mailing Address - Country:US
Mailing Address - Phone:623-221-8604
Mailing Address - Fax:
Practice Address - Street 1:7810 N 14TH PL APT 1025
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4338
Practice Address - Country:US
Practice Address - Phone:623-221-8604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ285959363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily