MEDICARE: MRS. KAREN LYNN PAOLINI ANP-BC

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	363LA2200X	Adult Health Nurse Practitioner	F306666-1	NY

General Provider Information

NPI Number	:	1164859872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN LYNN PAOLINI ANP-BC

Provider Business Mailing Address
First Line	:	1780 GRAND ISLAND BLVD STE 3
Second Line	:
City	:	GRAND ISLAND
State	:	NY
Zip	:	14072-2265
Country	:	US
Telephone Number	:	716-345-5592
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 GRAND ISLAND BLVD STE 3
Second Line	:
City	:	GRAND ISLAND
State	:	NY
Zip	:	14072-2265
Country	:	US
Telephone Number	:	716-345-5592
Fax Number	:

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

Provider Enumeration Date	:	09/26/2013
Last Update Date	:	05/01/2023

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