Doctor Name: | MISS KAREN KING |
NPI Number: | 1417013608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP2526 |
Business Practice Address: | 21300 N John Wayne Parkway Suite 110 Maricopa, AZ - 851398789 |
Business Phone Number: | 5204947670 |
Business Fax Number: | 5204947376 |
Mailing Address: | 21300 N John Wayne Pkwy, Suite 110 MARICOPA |
State: | AZ |
Postal Code: | 851398979 |
Phone Number: | 5204947670 |
Fax Number: | 5204947376 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 10/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP2526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |