Provider Demographics
NPI:1003139072
Name:MCNERNEY, KAREN ELIZABETH (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:MCNERNEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 N RIVERCENTER DR STE 206
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-3958
Mailing Address - Country:US
Mailing Address - Phone:414-231-1180
Mailing Address - Fax:414-272-5617
Practice Address - Street 1:1555 N RIVERCENTER DR STE 206
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3958
Practice Address - Country:US
Practice Address - Phone:414-231-1180
Practice Address - Fax:414-272-5617
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3994-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily