Provider Demographics
NPI:1588026892
Name:BATTENBERG, KAREN JEAN (FNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JEAN
Last Name:BATTENBERG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:JEAN
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:248 3RD AVE E
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901
Mailing Address - Country:US
Mailing Address - Phone:406-607-2223
Mailing Address - Fax:
Practice Address - Street 1:248 3RD AVE E
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-607-2223
Practice Address - Fax:406-756-7184
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT128303363LF0000X
CANP 2004061363LP2300X
CANPF 2004026363LP2300X
CANP95004085363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care