Healthcare Provider Details

I. General information

NPI: 1962533091
Provider Name (Legal Business Name): KAREN L WEBSTER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 MADISON RD SUITE 208
CINCINNATI OH
45209-2276
US

IV. Provider business mailing address

2727 MADISON RD SUITE 208
CINCINNATI OH
45209-2276
US

V. Phone/Fax

Practice location:
  • Phone: 513-321-0833
  • Fax: 513-321-6063
Mailing address:
  • Phone: 513-321-0833
  • Fax: 513-321-6063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP-00441
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: