Provider Demographics
NPI:1528218658
Name:HURKA RICHARDSON, KAREN ANNE (NP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ANNE
Last Name:HURKA RICHARDSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:CAROLINA MEADOWS VILLA
Mailing Address - Street 2:500 CAROLINA MEADOWS
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7557
Mailing Address - Country:US
Mailing Address - Phone:919-942-4014
Mailing Address - Fax:
Practice Address - Street 1:CAROLINA MEADOWS VILLA
Practice Address - Street 2:100 CAROLINA MEADOWS
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7557
Practice Address - Country:US
Practice Address - Phone:919-942-4014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200651363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner