Provider Demographics
NPI:1942778626
Name:DOSTALER, KAREN C (MSN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:C
Last Name:DOSTALER
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:697 THURROCK CIR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1505
Mailing Address - Country:US
Mailing Address - Phone:615-310-4245
Mailing Address - Fax:
Practice Address - Street 1:237 CASTLEWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-5166
Practice Address - Country:US
Practice Address - Phone:615-494-4804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-11
Last Update Date:2018-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2018034317363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health