Individual
MISS KAREN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
21300 N JOHN WAYNE PARKWAY, SUITE 110, MARICOPA, AZ 85139-8789
(520) 494-7670
(520) 494-7376
Mailing address
21300 N JOHN WAYNE PKWY, SUITE 110, MARICOPA, AZ 85139-8979
(520) 494-7670
(520) 494-7376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2526
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275801326
MEDICARE NPI
AZ
01
—
1417013608
NATIONAL INDIVIDUAL NPI (NPPES)
AZ
05
—
659854
—
AZ
Enumeration date
12/29/2006
Last updated
10/13/2014
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