Provider Demographics
NPI:1376772962
Name:GRAWE, KAREN J (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:J
Last Name:GRAWE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 BUSINESS HWY 24 WEST
Mailing Address - Street 2:
Mailing Address - City:MONROE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63456
Mailing Address - Country:US
Mailing Address - Phone:573-735-2506
Mailing Address - Fax:573-735-1083
Practice Address - Street 1:821 BUSINESS HWY 24 WEST
Practice Address - Street 2:
Practice Address - City:MONROE CITY
Practice Address - State:MO
Practice Address - Zip Code:63456
Practice Address - Country:US
Practice Address - Phone:573-735-2506
Practice Address - Fax:573-735-1083
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO129936363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily