MEDICARE: MRS. KAREN ELLEN SAHAKIAN-CORTINAS ARNP

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	363L00000X	Nurse Practitioner	2591252	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1720048655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN ELLEN SAHAKIAN-CORTINAS ARNP

Provider Business Mailing Address
First Line	:	193 CEDAR RIDGE CIRCLE
Second Line	:
City	:	ST.AUGUSTINE
State	:	FL
Zip	:	32080-6529
Country	:	US
Telephone Number	:	904-471-8908
Fax Number	:	904-471-8908

Provider Business Practice Location Address
First Line	:	4217 BAYMEADOWS RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217
Country	:	US
Telephone Number	:	904-332-7431
Fax Number	:	904-332-7408

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	09/17/2010

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