Healthcare Provider Details

I. General information

NPI: 1972548972
Provider Name (Legal Business Name): KAREN M WASNALAS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN MICHELLE BEERS

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

588 OSBURN ST
HEBRON IN
46341-0028
US

IV. Provider business mailing address

588 OSBURN ST
HEBRON IN
46341-0028
US

V. Phone/Fax

Practice location:
  • Phone: 219-713-7951
  • Fax:
Mailing address:
  • Phone: 219-713-7951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number842090
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71000253A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP3290
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28107612A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number842090
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: