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NPI Code Detail

MEDICARE: KAREN R PAGE ARNP

MEDICARE: KAREN R PAGE ARNP
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
1363L00000XNurse PractitionerA068150IA

General Provider Information

NPI Number : 1376515718
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN R PAGE ARNP
Provider Business Mailing Address
First Line : 24 N 9TH ST
Second Line : SUITE A
City : FORT DODGE
State : IA
Zip : 50501-3909
Country : US
Telephone Number : 515-574-6890
Fax Number :
Provider Business Practice Location Address
First Line : 301 HIGHLAND AVE
Second Line :
City : SAC CITY
State : IA
Zip : 50583-2411
Country : US
Telephone Number : 712-662-7119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 07/14/2011

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