Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 37068 | AZ |
N | 208000000X | Pediatrician | 4301081980 | MI |
Y | 2080P0210X | Pediatric Nephrologist | 37068 | AZ |
N | 2080P0210X | Pediatric Nephrologist | 4301081980 | MI |
NPI | 1881700292 |
---|---|
Provider Name | Karen E Papez |
First Address | Glendale, AZ 85305-2569 |
Second Address | Phoenix, AZ 85016-7941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
240160 | (05) | AZ |
37068 | LICENSE (01) | AZ |