Healthcare Provider Details
I. General information
NPI: 1366499543
Provider Name (Legal Business Name): KAREN SCHLOEMER ATENCIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/31/2006
Last Update Date: 04/08/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2140 N 12TH ST
GRAND JUNCTION CO
81501-2916
US
IV. Provider business mailing address
2140 N 12TH ST
GRAND JUNCTION CO
81501-2916
US
V. Phone/Fax
- Phone: 970-579-0003
- Fax:
- Phone: 970-579-0003
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 44600 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LA0401X |
| Taxonomy | Addiction Medicine (Anesthesiology) Physician |
| License Number | DR.0059708 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: