Healthcare Provider Details

I. General information

NPI: 1326513490
Provider Name (Legal Business Name): KARLI MARIE FICKES CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 GOOD DR
LANCASTER PA
17601-2426
US

IV. Provider business mailing address

685 GOOD DR
LANCASTER PA
17601-2426
US

V. Phone/Fax

Practice location:
  • Phone: 717-295-3900
  • Fax:
Mailing address:
  • Phone: 717-295-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP018983
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: