Healthcare Provider Details

I. General information

NPI: 1700243821
Provider Name (Legal Business Name): ABIGAIL KARLSSON C.R.N.A., M.S.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 07/22/2023
Certification Date: 07/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CAPITAL WAY CAPITAL HEALTH MEDICAL CENTER, ANESTHESIA DEPT.
PENNINGTON NJ
08534-2520
US

IV. Provider business mailing address

30 PICKWICK DR
DOYLESTOWN PA
18901-3020
US

V. Phone/Fax

Practice location:
  • Phone: 800-637-2374
  • Fax:
Mailing address:
  • Phone: 215-584-1886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN619448
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN619448
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: