Provider Demographics
NPI:1255463139
Name:DEMPSEY, KAREN M (RN MSN CS)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:RN MSN CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5632 BOWRON PL
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-8621
Mailing Address - Country:US
Mailing Address - Phone:508-292-0435
Mailing Address - Fax:
Practice Address - Street 1:5632 BOWRON PL
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-8621
Practice Address - Country:US
Practice Address - Phone:508-292-0435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0991817-CNS364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
273321000OtherMAGELLAN
779244OtherTUFTS HEALTH PLAN
273321000OtherMAGELLAN