Healthcare Provider Details

I. General information

NPI: 1689118317
Provider Name (Legal Business Name): KARA PATRICE MARTIN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA MOHR CRNP

II. Dates (important events)

Enumeration Date: 12/14/2016
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 WATERDAM RD APT 220
MC MURRAY PA
15317-2572
US

IV. Provider business mailing address

161 WATERDAM RD APT 220
MC MURRAY PA
15317-2572
US

V. Phone/Fax

Practice location:
  • Phone: 724-942-5188
  • Fax: 724-942-5878
Mailing address:
  • Phone: 724-942-5188
  • Fax: 724-942-5878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP017035
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: