Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carly Brooke Pravong, FNP-C

Individual provider Family Nurse Practitioner · NPI 1396216800

Carly Brooke Pravong, FNP-C is a Nurse Practitioner in Scottsdale, Arizona. Qualified in 2018, 8 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

10900 N Scottsdale Rd Ste 606
Scottsdale, AZ 85254-5252
Phone: (480) 368-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 219032 (AZ)

Record details

NPI number1396216800
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 9, 2018
Last updated in NPPESDecember 9, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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