Healthcare Provider Details

I. General information

NPI: 1851819981
Provider Name (Legal Business Name): KAREN ANN ERICKSON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2017
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2919 VALMONT RD STE 204
BOULDER CO
80301-1350
US

IV. Provider business mailing address

2919 VALMONT RD STE 204
BOULDER CO
80301-1350
US

V. Phone/Fax

Practice location:
  • Phone: 303-938-1110
  • Fax: 303-938-1145
Mailing address:
  • Phone: 303-938-1110
  • Fax: 303-938-1145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number993205
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: