Healthcare Provider Details

I. General information

NPI: 1609903608
Provider Name (Legal Business Name): KAREN MARIE BOGATAJ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN MARIE COMBE

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 W 2ND PL
LAKEWOOD CO
80228-1527
US

IV. Provider business mailing address

11600 W 2ND PL
LAKEWOOD CO
80228-1527
US

V. Phone/Fax

Practice location:
  • Phone: 303-203-1642
  • Fax: 720-321-1591
Mailing address:
  • Phone: 303-203-1642
  • Fax: 720-321-1591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0003984-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: