Provider Demographics
NPI:1346797685
Name:WAHL, KARI (FNP)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:WAHL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8328 CLEVELAND AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-4820
Mailing Address - Country:US
Mailing Address - Phone:330-494-4949
Mailing Address - Fax:
Practice Address - Street 1:8328 CLEVELAND AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-4820
Practice Address - Country:US
Practice Address - Phone:330-494-4949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-03
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.020146363L00000X
OHRN.331245163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.020146OtherNURSE PRACTITIONER LICENSE
OH0200137Medicaid
OHRN.331245OtherRN NURSING LISCENCE