Provider Demographics
NPI:1003165127
Name:FRANK, KAREN MARGOLIS (RN,CNM,IBCLC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARGOLIS
Last Name:FRANK
Suffix:
Gender:F
Credentials:RN,CNM,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 BARR CT
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-6503
Mailing Address - Country:US
Mailing Address - Phone:303-956-8942
Mailing Address - Fax:
Practice Address - Street 1:3820 BARR CT
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-6503
Practice Address - Country:US
Practice Address - Phone:303-956-8942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0834367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife