Healthcare Provider Details

I. General information

NPI: 1114977840
Provider Name (Legal Business Name): KAREN LOUISE HERBST PH.D., M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6365 E TANQUE VERDE RD STE 200
TUCSON AZ
85715-3830
US

IV. Provider business mailing address

6365 E TANQUE VERDE RD STE 200
TUCSON AZ
85715-3830
US

V. Phone/Fax

Practice location:
  • Phone: 520-719-1610
  • Fax: 520-720-3904
Mailing address:
  • Phone: 520-719-1610
  • Fax: 520-720-3904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number47835
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA80165
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: