Provider Demographics
NPI:1073806048
Name:EGGERS, KAREN L (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:EGGERS
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 1:415 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:IL
Mailing Address - Zip Code:61362-1517
Mailing Address - Country:US
Mailing Address - Phone:815-664-2365
Mailing Address - Fax:815-663-2191
Practice Address - Street 1:415 E 2ND ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:IL
Practice Address - Zip Code:61362-1517
Practice Address - Country:US
Practice Address - Phone:815-664-2365
Practice Address - Fax:815-663-2191
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008844363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily