Provider Demographics
NPI:1326709890
Name:KARLE, HEIDI N (DNP, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:N
Last Name:KARLE
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 ELBERT DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-6638
Mailing Address - Country:US
Mailing Address - Phone:513-256-9611
Mailing Address - Fax:
Practice Address - Street 1:3615 SOCIALVILLE FOSTER RD STE C
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9054
Practice Address - Country:US
Practice Address - Phone:513-204-1910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-06
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.319022163WC0200X
OHAPRN.CNP.0032728363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine