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NPI Code Detail

MEDICARE: MR. KARL JAMES WEBER NP

MEDICARE:  MR. KARL JAMES WEBER  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRXN.0109235-NPCO
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.1000221-NPCO

General Provider Information

NPI Number : 1003635582
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KARL JAMES WEBER NP
Provider Business Mailing Address
First Line : 129 SAVAGE LOOP
Second Line :
City : CANON CITY
State : CO
Zip : 81212-4185
Country : US
Telephone Number : 720-467-9478
Fax Number :
Provider Business Practice Location Address
First Line : 129 SAVAGE LOOP
Second Line :
City : CANON CITY
State : CO
Zip : 81212-4185
Country : US
Telephone Number : 720-467-9478
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2024
Last Update Date : 04/07/2025

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