Provider Demographics
NPI:1437400850
Name:MOHAN, KARA LYNN (CRNP)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:LYNN
Last Name:MOHAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N ABINGTON RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CLARKS GREEN
Mailing Address - State:PA
Mailing Address - Zip Code:18411-2300
Mailing Address - Country:US
Mailing Address - Phone:570-586-0246
Mailing Address - Fax:570-585-8970
Practice Address - Street 1:102 N ABINGTON RD
Practice Address - Street 2:SUITE 103
Practice Address - City:CLARKS GREEN
Practice Address - State:PA
Practice Address - Zip Code:18411-2300
Practice Address - Country:US
Practice Address - Phone:570-586-0246
Practice Address - Fax:570-585-8970
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012394363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner