Provider Demographics
NPI:1164064986
Name:KARLHEIM, BRIANNA MARIE (CRNP)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:MARIE
Last Name:KARLHEIM
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:MULHERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:336 BLOOMFIELD ST STE 201
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3271
Mailing Address - Country:US
Mailing Address - Phone:814-467-9999
Mailing Address - Fax:814-467-9977
Practice Address - Street 1:4090 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2324
Practice Address - Country:US
Practice Address - Phone:513-853-9700
Practice Address - Fax:513-852-8968
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020934363L00000X
OHCNP.0030357363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0383163Medicaid