Provider Demographics
NPI:1760264618
Name:ORELLANA, KAREN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ORELLANA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 W EDMONSTON DR STE 404
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1274
Mailing Address - Country:US
Mailing Address - Phone:301-762-7723
Mailing Address - Fax:
Practice Address - Street 1:50 W EDMONSTON DR STE 404
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1274
Practice Address - Country:US
Practice Address - Phone:301-762-7723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR233814363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily