Provider Demographics
NPI:1467649384
Name:BADROS, KAREN KATHRYN (CRNP)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:KATHRYN
Last Name:BADROS
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 1:722 BURNING TREE CIR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7002
Mailing Address - Country:US
Mailing Address - Phone:410-546-0288
Mailing Address - Fax:
Practice Address - Street 1:1506 HARTING DRIVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21802
Practice Address - Country:US
Practice Address - Phone:410-219-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR051632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily