Provider Demographics
NPI:1558690123
Name:BURNETT, KAAREN BRAUNER (FNP-C)
Entity Type:Individual
Prefix:
First Name:KAAREN
Middle Name:BRAUNER
Last Name:BURNETT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 MONMOUTH AVE N
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361-1329
Mailing Address - Country:US
Mailing Address - Phone:503-838-8313
Mailing Address - Fax:503-838-8801
Practice Address - Street 1:345 MONMOUTH AVE N
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:OR
Practice Address - Zip Code:97361-1329
Practice Address - Country:US
Practice Address - Phone:503-838-8313
Practice Address - Fax:503-838-8801
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201407554NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily