Healthcare Provider Details

I. General information

NPI: 1053632489
Provider Name (Legal Business Name): KAREN A O'SHEA RN ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. KAREN A STULPIN

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 04/19/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S CLINTON AVE BUILDING H, SUITE 210
ROCHESTER NY
14618-2668
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX 278980
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-341-7299
  • Fax: 585-341-4262
Mailing address:
  • Phone: 585-784-7854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number305408
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF305408-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: