Provider Demographics
NPI:1912344342
Name:ADY, KAREN ELIZABETH (CNM)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:ADY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 N 8TH ST
Mailing Address - Street 2:STE 202
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8845
Mailing Address - Country:US
Mailing Address - Phone:970-245-1168
Mailing Address - Fax:970-242-4299
Practice Address - Street 1:2525 N 8TH ST
Practice Address - Street 2:STE 202
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8845
Practice Address - Country:US
Practice Address - Phone:435-631-0571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
6647925-4402367A00000X
COC-APN-0000519-C-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife