Healthcare Provider Details

I. General information

NPI: 1760766430
Provider Name (Legal Business Name): KAREN SUE SPRINGFIELD APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2011
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3676 PARKER BLVD STE 260
PUEBLO CO
81008-2282
US

IV. Provider business mailing address

PO BOX 9000
PUEBLO CO
81008-9000
US

V. Phone/Fax

Practice location:
  • Phone: 719-553-2201
  • Fax: 833-916-2047
Mailing address:
  • Phone: 719-553-2201
  • Fax: 833-216-2047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP10300
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: