Provider Demographics
NPI:1437156320
Name:SCHNELL, KAREN S (ARNP-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:SCHNELL
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74344-5300
Mailing Address - Country:US
Mailing Address - Phone:918-786-1909
Mailing Address - Fax:918-787-3866
Practice Address - Street 1:10 E 13TH ST
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-5300
Practice Address - Country:US
Practice Address - Phone:918-786-1909
Practice Address - Fax:918-787-3866
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0031326363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200468380CMedicaid
OK100197410AMedicaid
OK900522214Medicare PIN
OK299538YKW9Medicare PIN
OKS51848Medicare UPIN
OKOKA105580Medicare PIN
OK100747570DMedicaid