Healthcare Provider Details

I. General information

NPI: 1245370840
Provider Name (Legal Business Name): KAREN ELIZABETH MCNAMARA CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 DELL RANGE BLVD
CHEYENNE WY
82009-4941
US

IV. Provider business mailing address

1012 TORNEY AVE
SAN FRANCISCO CA
94129-1704
US

V. Phone/Fax

Practice location:
  • Phone: 415-294-0775
  • Fax:
Mailing address:
  • Phone: 415-294-0775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95004412
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number56464
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024165166
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: