Provider Demographics
NPI:1487165064
Name:POPE, KAREN GRACE (CNM)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:GRACE
Last Name:POPE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8413 W GREEN KINGFISHER LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85757-7900
Mailing Address - Country:US
Mailing Address - Phone:520-820-7007
Mailing Address - Fax:
Practice Address - Street 1:2030 E BROADWAY BLVD STE 113
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-5908
Practice Address - Country:US
Practice Address - Phone:520-222-6564
Practice Address - Fax:520-300-7204
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-23
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP10053367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife