Provider Demographics
NPI:1649398744
Name:BURKETT, KAREN W (RN, CNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:W
Last Name:BURKETT
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:W
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNP
Mailing Address - Street 1:3333 BURNET AVE.
Mailing Address - Street 2:ML 5021
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-636-0356
Mailing Address - Fax:513-636-9286
Practice Address - Street 1:3333 BURNET AVE.
Practice Address - Street 2:ML 11016
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3039
Practice Address - Country:US
Practice Address - Phone:513-636-4780
Practice Address - Fax:513-636-7139
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.01940-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner