Provider Demographics
NPI:1710954714
Name:STILP, KAREN MARY (CRNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MARY
Last Name:STILP
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38C HALL MNR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-3081
Mailing Address - Country:US
Mailing Address - Phone:717-233-1700
Mailing Address - Fax:717-236-8752
Practice Address - Street 1:38C HALL MNR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-3081
Practice Address - Country:US
Practice Address - Phone:717-233-1700
Practice Address - Fax:717-236-8752
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP003626G363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0205300OtherHIGHMARK BLUE CROSS #
PA0205300OtherHIGHMARK BLUE CROSS #