Provider Demographics
NPI:1699023465
Name:DEL CURTO, KARA J (FNP)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:J
Last Name:DEL CURTO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:J
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2021 COURT AVE
Mailing Address - Street 2:
Mailing Address - City:BAKER CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97814-3417
Mailing Address - Country:US
Mailing Address - Phone:541-239-5261
Mailing Address - Fax:541-239-5262
Practice Address - Street 1:2021 COURT AVE
Practice Address - Street 2:
Practice Address - City:BAKER CITY
Practice Address - State:OR
Practice Address - Zip Code:97814-3417
Practice Address - Country:US
Practice Address - Phone:541-239-5261
Practice Address - Fax:541-239-5262
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP 1219A363LF0000X
IDNP-1219A363LF0000X
OR201408399NP-PP363LF0000X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDF0612875OtherAANP CERTIFICATION
OR201408399NPPPOtherFNP LICENSE