Healthcare Provider Details

I. General information

NPI: 1881615896
Provider Name (Legal Business Name): KAREN B. DRAPER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 08/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 MCFARLAND BLVD N
TUSCALOOSA AL
35406-2209
US

IV. Provider business mailing address

1400 AFFLINK PL SUITE 100
TUSCALOOSA AL
35406-2289
US

V. Phone/Fax

Practice location:
  • Phone: 205-345-8208
  • Fax: 205-345-8209
Mailing address:
  • Phone: 205-366-9740
  • Fax: 205-344-9992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-045212
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: