Provider Demographics
NPI:1407890411
Name:BARILE, KAREN B (NP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:B
Last Name:BARILE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:95 LANE 201BB LAKE GEORGE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:IN
Mailing Address - Zip Code:46737-9383
Mailing Address - Country:US
Mailing Address - Phone:260-312-8195
Mailing Address - Fax:260-481-5752
Practice Address - Street 1:4930 ILLINOIS RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-5105
Practice Address - Country:US
Practice Address - Phone:260-449-9698
Practice Address - Fax:260-399-4931
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71000206A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN500020244OtherRAILROAD MEDICARE
IN000000647425OtherANTHEM
IN200090300Medicaid
IN000000284092OtherANTHEM
IN000000284092OtherANTHEM
IN070860XXXXMedicare PIN
IN500020244OtherRAILROAD MEDICARE