Provider Demographics
NPI:1093131682
Name:BOLLEFER, KAREN (LPN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BOLLEFER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 CURRY PKWY
Mailing Address - Street 2:APT 21
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-2882
Mailing Address - Country:US
Mailing Address - Phone:303-396-9676
Mailing Address - Fax:
Practice Address - Street 1:2929 CURRY PKWY
Practice Address - Street 2:APT 21
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-2882
Practice Address - Country:US
Practice Address - Phone:303-396-9676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI317838-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse