MEDICARE: DR. KAREN S RANCE CPNP

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	363LP0200X	Pediatric Nurse Practitioner	28090629A	IN
2	163W00000X	Registered Nurse	28090629A	IN
3	363LP0200X	Pediatric Nurse Practitioner	71003336	IN
4	363L00000X	Nurse Practitioner	28090629A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IN1126012	OTHER	IN	MEDICARE PTAN
3	IN1125013	OTHER	IN	MEDICARE PTAN
4	IN1127013	OTHER	IN	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194729137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN S RANCE CPNP

Provider Business Mailing Address
First Line	:	PO BOX 2227
Second Line	:
City	:	SKYLAND
State	:	NC
Zip	:	28776-2227
Country	:	US
Telephone Number	:	828-575-2625
Fax Number	:	828-350-2174

Provider Business Practice Location Address
First Line	:	3266 N MERIDIAN ST
Second Line	:	SUITE 900
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5846
Country	:	US
Telephone Number	:	317-924-8297
Fax Number	:	317-924-8270

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	03/22/2017

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Directions to “ DR. KAREN S RANCE CPNP” Practice Location

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