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NPI Code Detail

MEDICARE: MRS. KARLIN HASKINS TALERICO CRNA, FNP-C

MEDICARE:  MRS. KARLIN HASKINS TALERICO  CRNA, 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
1163W00000XRegistered Nurse224009NC
2367500000XCertified Registered Nurse Anesthetist91106NC
3363LF0000XFamily Nurse Practitioner5019607NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1224009OTHERNCNURSING LICENSURE
25019607OTHERNCNORTH CAROLINA BOARD OF NUSING- FNP-C LICENSE
32143OTHERNCNORTH CAROLINA BOARD OF NURSING- CRNA LICENSE

General Provider Information

NPI Number : 1609138585
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARLIN HASKINS TALERICO CRNA, FNP-C
Provider Business Mailing Address
First Line : 7420 RIDGE FALLS LN
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-8015
Country : US
Telephone Number : 919-720-0467
Fax Number :
Provider Business Practice Location Address
First Line : 12335 WAKE UNION CHURCH RD STE 203
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-4527
Country : US
Telephone Number : 919-720-0467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2012
Last Update Date : 12/07/2024

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Directions to “ MRS. KARLIN HASKINS TALERICO CRNA, FNP-C” Practice Location

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