Provider Demographics
NPI:1851541296
Name:RICHARD, KAREN R (CNM)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:RICHARD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:R
Other - Last Name:MUSCATELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:1824 GOOD HOPE RD
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-1233
Mailing Address - Country:US
Mailing Address - Phone:717-988-9015
Mailing Address - Fax:717-988-9015
Practice Address - Street 1:1824 GOOD HOPE RD
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-1233
Practice Address - Country:US
Practice Address - Phone:717-988-9015
Practice Address - Fax:717-988-9015
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99034095A367A00000X
PAMW010026367A00000X
PARN527423L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN941090AB6Medicare PIN
IN252060B8Medicare PIN
PA802922Medicare PIN