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NPI Code Detail

MEDICARE: MRS. KAREN MIRANDA CARDWELL CRNP

MEDICARE: MRS. KAREN MIRANDA CARDWELL CRNP
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
1363LA2200XAdult Health Nurse Practitioner2011019100AL
2363LA2200XAdult Health Nurse Practitioner1-115086AL

General Provider Information

NPI Number : 1053678706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN MIRANDA CARDWELL CRNP
Provider Business Mailing Address
First Line : 1770 INDEPENDENCE CT
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-1259
Country : US
Telephone Number : 205-226-5900
Fax Number : 205-226-5937
Provider Business Practice Location Address
First Line : 1770 INDEPENDENCE CT
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-1259
Country : US
Telephone Number : 205-226-5900
Fax Number : 205-226-5937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 09/30/2025

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