Provider Demographics
NPI:1952475717
Name:ABEL, KAREN MARIE (APRN, CFNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:ABEL
Suffix:
Gender:F
Credentials:APRN, CFNP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:WHITEHEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CFNP
Mailing Address - Street 1:PO BOX 123604 DEPT 3604
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75312-3604
Mailing Address - Country:US
Mailing Address - Phone:337-494-2921
Mailing Address - Fax:337-494-6523
Practice Address - Street 1:203 E MILLER AVE STE B
Practice Address - Street 2:
Practice Address - City:IOWA
Practice Address - State:LA
Practice Address - Zip Code:70647-4075
Practice Address - Country:US
Practice Address - Phone:337-582-7632
Practice Address - Fax:337-582-7656
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN047601 AP03773363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1777641Medicaid
LAAP03773OtherSTATE LICENSE
LAQ53587Medicare UPIN