MEDICARE: KAREN R LITTLE 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
1	363L00000X	Nurse Practitioner	589970	TX
2	363LF0000X	Family Nurse Practitioner	AP108643	TX

General Provider Information

NPI Number	:	1720061856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN R LITTLE NP

Provider Business Mailing Address
First Line	:	403 W WALLACE ST
Second Line	:
City	:	SAN SABA
State	:	TX
Zip	:	76877-4433
Country	:	US
Telephone Number	:	325-372-5701
Fax Number	:	325-372-3249

Provider Business Practice Location Address
First Line	:	403 W WALLACE ST
Second Line	:
City	:	SAN SABA
State	:	TX
Zip	:	76877-4433
Country	:	US
Telephone Number	:	325-372-5701
Fax Number	:	325-372-3249

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	02/04/2025

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