Provider Demographics
NPI:1942290200
Name:WARSHAW, KARA LYN (APRN,BC)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LYN
Last Name:WARSHAW
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:L
Other - Last Name:GOODIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4514 WILSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70665-7211
Mailing Address - Country:US
Mailing Address - Phone:318-321-7880
Mailing Address - Fax:
Practice Address - Street 1:2651 E NAPOLEON ST
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-3707
Practice Address - Country:US
Practice Address - Phone:337-625-6750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04807363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1178667Medicaid
LA1942290200OtherNPI
LAQ07482Medicare UPIN