Healthcare Provider Details

I. General information

NPI: 1962478552
Provider Name (Legal Business Name): KAREN BAUMAN NELSON MSN, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 09/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KU OTO HNS MS 3010 3901 RAINBOW BLVD.
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

4943 CHARLOTTE CT
SHAWNEE KS
66216-5605
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6719
  • Fax: 913-588-4676
Mailing address:
  • Phone: 913-631-7461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number13.41674.082
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: