Provider Demographics
NPI:1285349951
Name:MINUS, KAREN D
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:MINUS
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:PO BOX 3526
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85636-3526
Mailing Address - Country:US
Mailing Address - Phone:520-234-5507
Mailing Address - Fax:520-685-9376
Practice Address - Street 1:1501 SILVERADO DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-5591
Practice Address - Country:US
Practice Address - Phone:520-234-5507
Practice Address - Fax:520-685-9376
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251E00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health