Provider Demographics
NPI:1750044913
Name:CAPE, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CAPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13044 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7030
Mailing Address - Country:US
Mailing Address - Phone:303-917-9653
Mailing Address - Fax:
Practice Address - Street 1:13044 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-7030
Practice Address - Country:US
Practice Address - Phone:303-917-9653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0123594163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient