Provider Demographics
NPI:1144550435
Name:BENNETT, KARIN JEAN (RN)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:JEAN
Last Name:BENNETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17847 DOMINGO DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-6662
Mailing Address - Country:US
Mailing Address - Phone:303-284-1721
Mailing Address - Fax:
Practice Address - Street 1:500 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-9307
Practice Address - Country:US
Practice Address - Phone:303-344-4910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO175839163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse