Individual
MS. KAREN PERTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1339 CASTLEPOINTE CIRCLE, CASTLE ROCK, CO 80108-8287
(330) 284-3848
Mailing address
1339 CASTLEPOINTE CIRCLE, CASTLE ROCK, CO 80108-8287
(330) 284-3848
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.190028
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
048040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000263065
ANTHEM PROVIDER #
OH
05
—
2284086
—
OH
Enumeration date
02/15/2007
Last updated
02/03/2011
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