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NPI Code Detail

MEDICARE: KAREN L KUTCHERA APRN BC NP

MEDICARE: KAREN L KUTCHERA APRN BC NP
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
1363LF0000XFamily Nurse PractitionerAP081869ME
2363LF0000XFamily Nurse Practitioner201650NC

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 : 1508826975
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN L KUTCHERA APRN BC NP
Provider Business Mailing Address
First Line : 1380 COWELL FARM RD
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3431
Country : US
Telephone Number : 252-946-2101
Fax Number : 252-946-9896
Provider Business Practice Location Address
First Line : 1380 COWELL FARM RD
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3431
Country : US
Telephone Number : 252-946-2101
Fax Number : 252-946-9896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 01/14/2022

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