Provider Demographics
NPI:1144379249
Name:MUSSELMAN, KARIN CHRISTINE (FNP)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:CHRISTINE
Last Name:MUSSELMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 ONE OAK RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-2642
Mailing Address - Country:US
Mailing Address - Phone:540-772-0820
Mailing Address - Fax:
Practice Address - Street 1:515 8TH ST SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-3529
Practice Address - Country:US
Practice Address - Phone:540-857-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017000126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily