Provider Demographics
NPI:1407517378
Name:STUEBGEN, KARIANE NICOLE (CRNP)
Entity Type:Individual
Prefix:
First Name:KARIANE
Middle Name:NICOLE
Last Name:STUEBGEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KARIANE
Other - Middle Name:NICOLE
Other - Last Name:TROUTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:493 BEAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SARVER
Mailing Address - State:PA
Mailing Address - Zip Code:16055-8624
Mailing Address - Country:US
Mailing Address - Phone:724-766-2131
Mailing Address - Fax:
Practice Address - Street 1:493 BEAR CREEK RD
Practice Address - Street 2:
Practice Address - City:SARVER
Practice Address - State:PA
Practice Address - Zip Code:16055-8624
Practice Address - Country:US
Practice Address - Phone:724-766-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025168363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health