Provider Demographics
NPI:1255943221
Name:COX, KAREN NICOLE (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:NICOLE
Last Name:COX
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41517 N MILL CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-1193
Mailing Address - Country:US
Mailing Address - Phone:602-750-3435
Mailing Address - Fax:
Practice Address - Street 1:41517 N MILL CREEK WAY
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-1193
Practice Address - Country:US
Practice Address - Phone:602-750-3435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ243270363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily