Provider Demographics
NPI:1528035201
Name:WHITE, KAREN M (CRNA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:WHITE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 S 70TH STREET
Mailing Address - Street 2:SUITE # 450
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3796
Mailing Address - Country:US
Mailing Address - Phone:402-730-0230
Mailing Address - Fax:402-489-5279
Practice Address - Street 1:2900 S 70TH STREET
Practice Address - Street 2:SUITE # 450
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-3796
Practice Address - Country:US
Practice Address - Phone:402-730-0230
Practice Address - Fax:402-489-5279
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NENE100369367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47061979815Medicaid
NE269928WHMedicare ID - Type Unspecified
NER29949Medicare UPIN