Healthcare Provider Details

I. General information

NPI: 1699234211
Provider Name (Legal Business Name): KARYN KUDRNA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2019
Last Update Date: 03/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 SALT CREEK LN
HINSDALE IL
60521-2903
US

IV. Provider business mailing address

411 ROBIN HILL DR
NAPERVILLE IL
60540-7324
US

V. Phone/Fax

Practice location:
  • Phone: 331-221-2505
  • Fax:
Mailing address:
  • Phone: 847-732-3568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209019001
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: