Provider Demographics
NPI:1104029669
Name:BARTON, KAREN GUDRUN (RNC, MS, CRNP, APRN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:GUDRUN
Last Name:BARTON
Suffix:
Gender:F
Credentials:RNC, MS, CRNP, APRN
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:GUDRUN
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:181 W WHITE HORSE PIKE STE 100
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-2032
Mailing Address - Country:US
Mailing Address - Phone:856-767-3234
Mailing Address - Fax:856-767-3518
Practice Address - Street 1:181 W WHITE HORSE PIKE STE 100
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08009
Practice Address - Country:US
Practice Address - Phone:856-767-3234
Practice Address - Fax:856-767-3518
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN07811700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0278459Medicaid
NJ0278459Medicaid