Healthcare Provider Details

I. General information

NPI: 1407367626
Provider Name (Legal Business Name): KAREN VIGGIANO PASTER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN M VIGGIANO CRNP

II. Dates (important events)

Enumeration Date: 10/15/2017
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

467 CREAMERY WAY
EXTON PA
19341-2508
US

IV. Provider business mailing address

21 LINDSAY CT
MOHNTON PA
19540-9007
US

V. Phone/Fax

Practice location:
  • Phone: 512-639-8316
  • Fax:
Mailing address:
  • Phone: 512-639-8316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP017866
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1000809
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1000809
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP033047
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: