| Doctor Name: | KAREN DEGENEVIEVE |
| NPI Number: | 1134203334 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R28079 |
| Business Practice Address: | 1313 E 32nd St Silver City, NM - 880617251 |
| Business Phone Number: | 5755384009 |
| Business Fax Number: | 5755384003 |
| Mailing Address: | 1313 E 32nd St, SILVER CITY |
| State: | NM |
| Postal Code: | 880617251 |
| Phone Number: | 5755384009 |
| Fax Number: | 5755384003 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R28079 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |