Provider Demographics
NPI:1952635427
Name:RIGGS, KAREN INDRA (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:INDRA
Last Name:RIGGS
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:INDRA
Other - Last Name:RIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:353 INDIAN WOMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459
Mailing Address - Country:US
Mailing Address - Phone:817-578-1622
Mailing Address - Fax:
Practice Address - Street 1:2933 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4411
Practice Address - Country:US
Practice Address - Phone:850-257-5524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9417615363LP0200X
TX617680363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics