Provider Demographics
NPI:1164552451
Name:KARNS, KRISTIN ELVIRA (ARNP)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ELVIRA
Last Name:KARNS
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 1:400 E UNIVERSITY WAY
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-7502
Mailing Address - Country:US
Mailing Address - Phone:509-963-1881
Mailing Address - Fax:509-963-1886
Practice Address - Street 1:CWU STUDENT HEALTH CENTER
Practice Address - Street 2:11TH ST AND POPLAR ST.
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-7585
Practice Address - Country:US
Practice Address - Phone:509-963-1881
Practice Address - Fax:509-963-1886
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001665363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner