| Doctor Name: | MS. KARLA D WAX |
| NPI Number: | 1003042961 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P.-C. |
| License Number: | AT3373 |
| Business Practice Address: | 1331 N 7th St Suite 275 Phoenix, AZ - 850062754 |
| Business Phone Number: | 6022543151 |
| Business Fax Number: | 6022569581 |
| Mailing Address: | 1331 N 7th St, Suite 275 PHOENIX |
| State: | AZ |
| Postal Code: | 850062754 |
| Phone Number: | 6022543151 |
| Fax Number: | 6022569581 |
| NPI Enumeration Date: | 06/05/2009 |
| NPI Last Update Date: | 06/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AT3373 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |