Provider Demographics
NPI:1275602401
Name:NOVARA, KAREN ESTELLE (MS RN CNSBC LADC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ESTELLE
Last Name:NOVARA
Suffix:
Gender:F
Credentials:MS RN CNSBC LADC
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:ESTELLE
Other - Last Name:SCHWANKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1625 JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082
Mailing Address - Country:US
Mailing Address - Phone:651-351-2904
Mailing Address - Fax:
Practice Address - Street 1:1675 GREELEY ST
Practice Address - Street 2:STE 202
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082
Practice Address - Country:US
Practice Address - Phone:651-275-1214
Practice Address - Fax:651-275-1214
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN300942101YA0400X
MNR1391750163W00000X
MN163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
77B53N0OtherBCBS
77B52N0OtherBCBS
HP34005OtherHEALTH PARTNERS
8263875OtherUBH
75704OtherHEALTH PARTNERS