Provider Demographics
NPI:1679073506
Name:KRAMER, KAREN A (APN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:KRAMER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 CALDWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BELFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07718-1227
Mailing Address - Country:US
Mailing Address - Phone:732-299-2710
Mailing Address - Fax:
Practice Address - Street 1:485 CALDWELL AVE
Practice Address - Street 2:
Practice Address - City:BELFORD
Practice Address - State:NJ
Practice Address - Zip Code:07718-1227
Practice Address - Country:US
Practice Address - Phone:732-299-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00788700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner