MEDICARE: MRS. KAREN B. BARILE N.P.

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	363LF0000X	Family Nurse Practitioner	71000206A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	500020244	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	000000647425	OTHER	IN	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000284092	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1407890411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN B. BARILE N.P.

Provider Business Mailing Address
First Line	:	95 LANE 201BB LAKE GEORGE
Second Line	:
City	:	FREMONT
State	:	IN
Zip	:	46737-9383
Country	:	US
Telephone Number	:	260-312-8195
Fax Number	:	260-481-5752

Provider Business Practice Location Address
First Line	:	4930 ILLINOIS RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-5105
Country	:	US
Telephone Number	:	260-449-9698
Fax Number	:	260-399-4931

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	07/21/2022

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Directions to “ MRS. KAREN B. BARILE N.P.” Practice Location

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