Healthcare Provider Details

I. General information

NPI: 1518977297
Provider Name (Legal Business Name): KAREN MIGLIACCIO DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 01/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7641 MCLAUGHLIN RD
PEYTON CO
80831-4715
US

IV. Provider business mailing address

7641 MCLAUGHLIN RD
PEYTON CO
80831-4715
US

V. Phone/Fax

Practice location:
  • Phone: 719-495-4554
  • Fax: 719-495-0882
Mailing address:
  • Phone: 719-495-4554
  • Fax: 719-495-0882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number93592
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: