Provider Demographics
NPI:1861804890
Name:CARHARTT, LAUREN (CPNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:CARHARTT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 W CHANDLER BLVD
Mailing Address - Street 2:BUILDING B
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5294
Mailing Address - Country:US
Mailing Address - Phone:480-385-5055
Mailing Address - Fax:480-385-5054
Practice Address - Street 1:1445 W CHANDLER BLVD
Practice Address - Street 2:BUILDING B
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5294
Practice Address - Country:US
Practice Address - Phone:480-385-5055
Practice Address - Fax:480-385-5054
Is Sole Proprietor?:No
Enumeration Date:2014-05-26
Last Update Date:2014-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5548363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics