Provider Demographics
NPI:1598950297
Name:POLLITT, KAREN BRIAN (CPNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:BRIAN
Last Name:POLLITT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 N LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-1272
Mailing Address - Country:US
Mailing Address - Phone:812-662-8115
Mailing Address - Fax:812-663-2622
Practice Address - Street 1:1809 N LINCOLN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-1272
Practice Address - Country:US
Practice Address - Phone:812-662-8115
Practice Address - Fax:812-663-2622
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-09533208000000X
OHCOA.09533-NP363LP0200X
IN28070507A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics