Provider Demographics
NPI:1265173017
Name:CORIA, KARLA (FNP-C)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:CORIA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:
Other - Last Name:MARIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2652 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-2608
Mailing Address - Country:US
Mailing Address - Phone:402-919-4802
Mailing Address - Fax:
Practice Address - Street 1:4508 38TH ST STE 260
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-1636
Practice Address - Country:US
Practice Address - Phone:402-564-0205
Practice Address - Fax:402-564-2607
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE114125363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner