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NPI Code Detail

MEDICARE: KAREN M LAIRD FNP-C

MEDICARE: KAREN M LAIRD FNP-C
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 PractitionerF0709104NC
2363LF0000XFamily Nurse Practitioner612814TX
3363L00000XNurse Practitioner5013264NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP118043OTHERTXLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609008655
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN M LAIRD FNP-C
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 910-721-4400
Fax Number : 910-721-4409
Provider Business Practice Location Address
First Line : 200 NOLA RUTH BLVD
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-6074
Country : US
Telephone Number : 877-800-5722
Fax Number : 254-698-1673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2009
Last Update Date : 07/25/2024

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Directions to “ KAREN M LAIRD FNP-C” Practice Location

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