MEDICARE: MISS KAREN ANNE WHISENANT CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	036881	AL

General Provider Information

NPI Number	:	1093822371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS KAREN ANNE WHISENANT CRNP

Provider Business Mailing Address
First Line	:	247 LIMESTONE DR
Second Line	:
City	:	UNION GROVE
State	:	AL
Zip	:	35175-8374
Country	:	US
Telephone Number	:	256-498-2575
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 RESCIA AVE
Second Line	:
City	:	RAINBOW CITY
State	:	AL
Zip	:	35906-5933
Country	:	US
Telephone Number	:	256-413-7154
Fax Number	:	256-413-7813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	07/08/2007

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