| Doctor Name: | KAREN L BERTASSO |
| NPI Number: | 1003110412 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 014616 |
| Business Practice Address: | 1107 S Lemay Ave Ste 240 Fort Collins, CO - 805243960 |
| Business Phone Number: | 9704957421 |
| Business Fax Number: | 9704957424 |
| Mailing Address: | 1107 S Lemay Ave, Ste 240 FORT COLLINS |
| State: | CO |
| Postal Code: | 805243960 |
| Phone Number: | 9704957421 |
| Fax Number: | 9704957424 |
| NPI Enumeration Date: | 12/28/2010 |
| NPI Last Update Date: | 01/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 014616 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |