Individual
KAREN ALYCE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2946 E. BANNER GATEWAY DR, GILBERT, AZ 85234
(602) 406-4000
(602) 406-6498
Mailing address
2946 E. BANNER GATEWAY DR, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3133
AZ
363AM0700X
Medical Physician Assistant
3133
AZ
363AS0400X
Surgical Physician Assistant
Primary
3133
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5550830001
MEDICARE NSC SCW
AZ
01
—
5550830003
MEDICARE NSC PEORIA
AZ
01
—
5550830004
MEDICARE NSC PV
AZ
01
—
5550830006
MEDICARE NSC ANTHEM
AZ
01
—
5550830007
MEDICARE NSC DV
AZ
01
—
5550830008
MEDICARE NSC SWV
AZ
01
—
5550830009
MEDICARE NSC AZ NORTH
AZ
01
—
5550830010
MEDICARE NSC GILBERT
AZ
05
—
906480
—
AZ
01
—
P00214608
RR MEDICARE
AZ
Enumeration date
06/01/2006
Last updated
02/24/2025
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