Provider Demographics
NPI:1871653592
Name:KARENBAUER, JASON M (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:M
Last Name:KARENBAUER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1159 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-3729
Mailing Address - Country:US
Mailing Address - Phone:724-699-8645
Mailing Address - Fax:
Practice Address - Street 1:1447 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4727
Practice Address - Country:US
Practice Address - Phone:989-583-6237
Practice Address - Fax:989-583-6032
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704234324367500000X
PARN355669L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered