Provider Demographics
NPI:1245611771
Name:MUSICK, KAREN (AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MUSICK
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3514 NW MCKINLEY DR
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-1148
Mailing Address - Country:US
Mailing Address - Phone:541-760-2435
Mailing Address - Fax:
Practice Address - Street 1:3514 NW MCKINLEY DR
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-1148
Practice Address - Country:US
Practice Address - Phone:541-760-2435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201503209NP-PP363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care