Provider Demographics
NPI:1902801236
Name:SOLODKY, CARRIE BETH (ND MSN ANP-C)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:BETH
Last Name:SOLODKY
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Gender:F
Credentials:ND MSN ANP-C
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Mailing Address - Street 1:14780 W MOUNTAIN VIEW BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-7280
Mailing Address - Country:US
Mailing Address - Phone:623-322-6923
Mailing Address - Fax:855-420-6361
Practice Address - Street 1:3805 E BELL RD
Practice Address - Street 2:SUITE 3100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-3345
Practice Address - Country:US
Practice Address - Phone:602-867-8644
Practice Address - Fax:602-795-5698
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2017-02-08
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Provider Licenses
StateLicense IDTaxonomies
AZRN104543363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ464066Medicaid
AZ464066Medicaid
AZ112367Medicare PIN