Provider Demographics
NPI:1104054535
Name:DREYER, KARLA
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:DREYER
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 1:10180 RIDGEGATE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5570
Mailing Address - Country:US
Mailing Address - Phone:303-594-6899
Mailing Address - Fax:
Practice Address - Street 1:10180 RIDGEGATE CIRCLE
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-9747
Practice Address - Country:US
Practice Address - Phone:303-594-6899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO179813163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse