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NPI Code Detail

MEDICARE: MARY L. KARNER NP

MEDICARE: MARY L. KARNER NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN.0000876-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215925664
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY L. KARNER NP
Provider Business Mailing Address
First Line : 1735 S PUBLIC RD STE 203
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-7093
Country : US
Telephone Number : 303-665-3036
Fax Number : 303-665-3397
Provider Business Practice Location Address
First Line : 1735 S PUBLIC RD STE 100
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-7093
Country : US
Telephone Number : 303-665-9310
Fax Number : 303-665-3397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 03/07/2023

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