| Carolyn Kathan, FNP-C | |
|
87 S State Route 89, Chino Valley, AZ 86323-5687 | |
| (928) 404-1488 | |
| (866) 232-8580 |
| Full Name | Carolyn Kathan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 87 S State Route 89, Chino Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194368530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 233606 (Arizona) | Primary |
| 207Q00000X | Family Medicine | 233606 (Arizona) | Secondary |
| Entity Name | Honorhealth Ambulatory |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407050917 PECOS PAC ID: 5991603110 Enrollment ID: O20071005000449 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Kathan, FNP-C 87 S State Route 89, Chino Valley, AZ 86323-5687 Ph: (928) 404-1488 | Carolyn Kathan, FNP-C 87 S State Route 89, Chino Valley, AZ 86323-5687 Ph: (928) 404-1488 |
Dianne A Tobin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 474 N Highway 89, Chino Valley, AZ 86323 Phone: 928-636-4355 | |
Shannon Kay Jaramillo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1934 N State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488 | |
Shelly Lynn Crossman, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 448 N State Route 89 Ste H, Chino Valley, AZ 86323 Phone: 928-499-2915 Fax: 877-406-3180 | |
Ms. Jessica Renee Holman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 Roadrunner Ln, Chino Valley, AZ 86323 Phone: 928-848-7553 | |
Kimberly Faun Bailey, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 448 N Hwy 89 Ste H, Chino Valley, AZ 86323 Phone: 928-636-3269 | |
Amy Kay Durham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 474 N Highway 89, Chino Valley, AZ 86323 Phone: 928-636-5680 Fax: 928-636-5853 |