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NPI Code Detail

MEDICARE: KARLA SHEARER APRN

MEDICARE: KARLA SHEARER APRN
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 PractitionerCOA 14328OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366787962
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA SHEARER APRN
Provider Business Mailing Address
First Line : 7625 CAMARGO RD STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-3107
Country : US
Telephone Number : 513-528-8050
Fax Number : 513-528-8151
Provider Business Practice Location Address
First Line : 7625 CAMARGO RD STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-3107
Country : US
Telephone Number : 513-528-8050
Fax Number : 513-528-8151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2012
Last Update Date : 12/01/2020

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