Provider Demographics
NPI:1437107927
Name:KOSAROWICH, KAREN (N P)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KOSAROWICH
Suffix:
Gender:F
Credentials:N P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7460 HENNESS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:YOSEMITE
Mailing Address - State:CA
Mailing Address - Zip Code:95389-9100
Mailing Address - Country:US
Mailing Address - Phone:209-372-4808
Mailing Address - Fax:
Practice Address - Street 1:48677 VICTORIA LN
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9216
Practice Address - Country:US
Practice Address - Phone:559-683-2992
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily