Provider Demographics
NPI:1760051072
Name:TELLEP, KARLI (MSN, APRN, AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:KARLI
Middle Name:
Last Name:TELLEP
Suffix:
Gender:F
Credentials:MSN, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12825 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:43762-9768
Mailing Address - Country:US
Mailing Address - Phone:740-260-9377
Mailing Address - Fax:
Practice Address - Street 1:12825 RIDGEVIEW DR
Practice Address - Street 2:
Practice Address - City:NEW CONCORD
Practice Address - State:OH
Practice Address - Zip Code:43762-9768
Practice Address - Country:US
Practice Address - Phone:740-260-9377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0028893363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care