MEDICARE: KAREN MESMER CHAANINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	5012901	NC
2	363LF0000X	Family Nurse Practitioner	5012901	NC

General Provider Information

NPI Number	:	1003440520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN MESMER CHAANINE

Provider Business Mailing Address
First Line	:	PO BOX 5105
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-5100
Country	:	US
Telephone Number	:	919-220-5255
Fax Number	:

Provider Business Practice Location Address
First Line	:	3714 GUARDIAN AVE STE E
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2975
Country	:	US
Telephone Number	:	910-332-3800
Fax Number	:	310-251-0421

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2020
Last Update Date	:	12/02/2024

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