Provider Demographics
NPI:1578660767
Name:MILSTEAD, KAREN K (FNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:K
Last Name:MILSTEAD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:K
Other - Last Name:FRYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:16644 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192-2600
Mailing Address - Country:US
Mailing Address - Phone:804-883-7262
Mailing Address - Fax:
Practice Address - Street 1:16644 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VA
Practice Address - Zip Code:23192-2600
Practice Address - Country:US
Practice Address - Phone:804-883-5374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165346363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007794517Medicaid
VA642C07Medicare ID - Type UnspecifiedVA MEDICARE
VA007794517Medicaid