Provider Demographics
NPI:1144452012
Name:ADAMSON, KAREN DIANE (MSN, WHNP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:DIANE
Last Name:ADAMSON
Suffix:
Gender:F
Credentials:MSN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7705 COUNTY ROAD 111
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-9735
Mailing Address - Country:US
Mailing Address - Phone:719-539-7931
Mailing Address - Fax:
Practice Address - Street 1:20 W NORTH ST
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-3117
Practice Address - Country:US
Practice Address - Phone:800-230-7526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015417363LW0102X
CONP 10088363LW0102X
NV828674363LW0102X
NMCNP-02339363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO23106557Medicaid
NM23581034Medicaid