Karen Iacuone, RN
Individual provider Active NPI Registered Nurse · Meeker, CO
NPI 1063963429 · NPPES record last updated Dec 8, 2016
Key facts
- NPI
- 1063963429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0189344 (CO)
- Practice address
- 354 Market St
Meeker, CO 81641 - Phone
- (970) 878-9526
- NPI assigned
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0189344 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0189344 | CO | Yes |
Addresses
Primary practice location
354 Market St
Meeker, CO 81641
Mailing address
354 Market St
Meeker, CO 81641
Phone (970) 878-9526
Other providers in Meeker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.