NPI Code Details Logo

NPI 1376772962

NPI 1376772962 : KAREN J GRAWE FNP-BC : MONROE CITY, MO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376772962
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KAREN J GRAWE FNP-BC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/06/2009
-----------------------------------------------------
    Last Update Date     |    10/20/2016
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    821 BUSINESS HWY 24 WEST 
-----------------------------------------------------
    City                 |    MONROE CITY
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63456
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    573-735-2506
-----------------------------------------------------
    Fax                  |    573-735-1083
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    821 BUSINESS HWY 24 WEST 
-----------------------------------------------------
    City                 |    MONROE CITY
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63456
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    573-735-2506
-----------------------------------------------------
    Fax                  |    573-735-1083
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    129936
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.