Provider Demographics
NPI:1467094367
Name:TALAMANTES, KAREN L (APRN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:TALAMANTES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7647 W GULF TO LAKE HWY STE 6
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-7800
Mailing Address - Country:US
Mailing Address - Phone:352-795-1718
Mailing Address - Fax:352-795-7898
Practice Address - Street 1:7647 W GULF TO LAKE HWY STE 6
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-7800
Practice Address - Country:US
Practice Address - Phone:352-795-1718
Practice Address - Fax:352-795-7898
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004508363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology