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NPI Code Detail

MEDICARE: KAREN L STASIAK NNP

MEDICARE: KAREN L STASIAK NNP
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
1363LN0000XNeonatal Nurse Practitioner3637CO

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 : 1760460216
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN L STASIAK NNP
Provider Business Mailing Address
First Line : 100 HEALTH PARK DR
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-9583
Country : US
Telephone Number : 303-673-1102
Fax Number :
Provider Business Practice Location Address
First Line : 100 HEALTH PARK DR
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-9583
Country : US
Telephone Number : 303-673-1102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 04/16/2010

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