Provider Demographics
NPI:1205974011
Name:CHARLAND, KAREN K (NP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:K
Last Name:CHARLAND
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:PO BOX 1448
Mailing Address - Street 2:3 TEN MILE DRIVE
Mailing Address - City:GRANBY
Mailing Address - State:CO
Mailing Address - Zip Code:80446-1448
Mailing Address - Country:US
Mailing Address - Phone:970-887-0101
Mailing Address - Fax:970-887-3202
Practice Address - Street 1:3 TEN MILE DRIVE
Practice Address - Street 2:
Practice Address - City:GRANBY
Practice Address - State:CO
Practice Address - Zip Code:80446-1448
Practice Address - Country:US
Practice Address - Phone:970-887-0101
Practice Address - Fax:970-887-3202
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2013-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO105005363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
COS82578Medicare UPIN