Provider Demographics
NPI:1184809162
Name:WUBBEN, KAREN A (RN, BSN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:WUBBEN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 S MOORE DR
Mailing Address - Street 2:#101
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-6535
Mailing Address - Country:US
Mailing Address - Phone:303-524-6536
Mailing Address - Fax:
Practice Address - Street 1:2630 S MOORE DR
Practice Address - Street 2:#101
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-6535
Practice Address - Country:US
Practice Address - Phone:303-524-6536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDN31245163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse