Provider Demographics
NPI:1518208172
Name:SCHALLER, KAREN MARIE (MSN, FNP, CRNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:SCHALLER
Suffix:
Gender:F
Credentials:MSN, FNP, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 EMRICK BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8037
Mailing Address - Country:US
Mailing Address - Phone:610-954-9260
Mailing Address - Fax:610-954-9265
Practice Address - Street 1:3101 EMRICK BLVD STE 211
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8037
Practice Address - Country:US
Practice Address - Phone:610-954-9260
Practice Address - Fax:610-954-9265
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012618363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner