Provider Demographics
NPI:1205538246
Name:CROY, KARIANNE ELBROCK
Entity type:Individual
Prefix:MRS
First Name:KARIANNE
Middle Name:ELBROCK
Last Name:CROY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12621 N VISTOSO VIEW PL
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1972
Mailing Address - Country:US
Mailing Address - Phone:520-334-0640
Mailing Address - Fax:
Practice Address - Street 1:12621 N VISTOSO VIEW PL
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1972
Practice Address - Country:US
Practice Address - Phone:520-334-0640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator