MEDICARE: MS. KAREN M PIPKIN 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
1	363L00000X	Nurse Practitioner	R093733	MD
2	363LA2100X	Acute Care Nurse Practitioner	R093733	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D3800009	OTHER	DC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	69768207	OTHER	MD	BCBS
4	W8490004	OTHER	DC	BCBS
5	697682-09	OTHER	MD	BCBS
6	69768206	OTHER	MD	BCBS
7	J4570010	OTHER	DC	BCBS

General Provider Information

NPI Number	:	1427039742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN M PIPKIN CRNP

Provider Business Mailing Address
First Line	:	200 HOSPITAL DR
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-5884
Country	:	US
Telephone Number	:	410-768-5555
Fax Number	:	410-768-5835

Provider Business Practice Location Address
First Line	:	200 HOSPITAL DR
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-5884
Country	:	US
Telephone Number	:	410-768-5555
Fax Number	:	410-768-5835

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	06/28/2012

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