Provider Demographics
NPI:1063678936
Name:PFAB, KARI (ARNP)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:PFAB
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 DELHI ST
Mailing Address - Street 2:STE 100
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6320
Mailing Address - Country:US
Mailing Address - Phone:563-557-3910
Mailing Address - Fax:563-589-4063
Practice Address - Street 1:2395 NW ARTERIAL
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-0496
Practice Address - Country:US
Practice Address - Phone:563-557-9111
Practice Address - Fax:563-582-5620
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA095370363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner