Provider Demographics
NPI:1891132460
Name:MCFAUL-GLOVER, KAREN DEBORAH (CRNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:DEBORAH
Last Name:MCFAUL-GLOVER
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 1:2 COLGATE DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2624
Mailing Address - Country:US
Mailing Address - Phone:888-340-1813
Mailing Address - Fax:
Practice Address - Street 1:2 COLGATE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-2624
Practice Address - Country:US
Practice Address - Phone:888-340-1813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR086448363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health