Provider Demographics
NPI:1891735452
Name:PODLINSKI, KAREN K (APN)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:K
Last Name:PODLINSKI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MRS
Other - First Name:KARER
Other - Middle Name:
Other - Last Name:PODLINSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:307 HINCHMAN AVE
Mailing Address - Street 2:CHERYY HILL
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2309
Mailing Address - Country:US
Mailing Address - Phone:856-663-2482
Mailing Address - Fax:
Practice Address - Street 1:2201 CHAPEL AVE W
Practice Address - Street 2:#106
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2048
Practice Address - Country:US
Practice Address - Phone:856-488-6785
Practice Address - Fax:856-488-6495
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN56783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7985304Medicaid
NJ7985304Medicaid