Provider Demographics
NPI:1013995257
Name:OPP, KAREN K (NP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:K
Last Name:OPP
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Mailing Address - Street 1:ESSENTIA HEALTH DULUTH CLINIC MSS 6AV1-PE
Mailing Address - Street 2:400 EAST THIRD STREET
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1951
Mailing Address - Country:US
Mailing Address - Phone:218-786-3146
Mailing Address - Fax:
Practice Address - Street 1:13060 ISLE DR
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8331
Practice Address - Country:US
Practice Address - Phone:218-828-2880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NDR21613363LP0200X
MNCNP1167363LP0200X
MNR113223-6363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN149815100Medicaid
MN149815100Medicaid