Provider Demographics
NPI:1659530418
Name:LUDWIG, KAREN JOAN (FNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JOAN
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:22 STATION AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2092
Mailing Address - Country:US
Mailing Address - Phone:207-373-6848
Mailing Address - Fax:207-373-6849
Practice Address - Street 1:22 STATION AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2092
Practice Address - Country:US
Practice Address - Phone:207-373-6848
Practice Address - Fax:207-373-6849
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2015-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MER052936363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
2517601Medicare PIN