Provider Demographics
NPI:1528020310
Name:KARLIN, MICHELLE RENE (RN AOCNP FNP -BC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:RENE
Last Name:KARLIN
Suffix:
Gender:F
Credentials:RN AOCNP FNP -BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:4215 JOE RAMSEY BLVD E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-7852
Practice Address - Country:US
Practice Address - Phone:903-408-5112
Practice Address - Fax:903-408-5109
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX601317363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01800859OtherRAILROAD
TX179279805Medicaid
TX8L1314Medicare UPIN
TXP01800859OtherRAILROAD
Q62579Medicare UPIN