Provider Demographics
NPI:1356234199
Name:CHUMBE, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CHUMBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 W BASELINE RD APT 2028
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-5395
Mailing Address - Country:US
Mailing Address - Phone:805-235-9637
Mailing Address - Fax:
Practice Address - Street 1:1311 W BASELINE RD APT 2028
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-5395
Practice Address - Country:US
Practice Address - Phone:805-235-9637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty