Provider Demographics
NPI:1386456218
Name:MCDONALD, KAREN COLLIER
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:COLLIER
Last Name:MCDONALD
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 1:14802 W WIGWAM BLVD
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-8231
Mailing Address - Country:US
Mailing Address - Phone:623-932-7200
Mailing Address - Fax:
Practice Address - Street 1:14802 W WIGWAM BLVD
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-8231
Practice Address - Country:US
Practice Address - Phone:623-932-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ263870163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool