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NPI Code Detail

MEDICARE: KAREN J. M. KING FNP-BC

MEDICARE: KAREN J. M. KING FNP-BC
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 Practitioner26NJ00529900NJ

General Provider Information

NPI Number : 1770975989
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN J. M. KING FNP-BC
Provider Business Mailing Address
First Line : 178 MORRIS AVE
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-1217
Country : US
Telephone Number : 973-379-8771
Fax Number :
Provider Business Practice Location Address
First Line : 178 MORRIS AVE
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-1217
Country : US
Telephone Number : 973-379-8771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2015
Last Update Date : 07/08/2021

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