Provider Demographics
NPI:1356374532
Name:HERMAN, KAREN ELIZABETH (APN, CNM)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:HERMAN
Suffix:
Gender:F
Credentials:APN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:206 BUCHER DR
Mailing Address - Street 2:BAXTER COUNTY HEALTH UNIT
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-3400
Mailing Address - Country:US
Mailing Address - Phone:870-425-3072
Mailing Address - Fax:870-424-6646
Practice Address - Street 1:206 BUCHER DR
Practice Address - Street 2:BAXTER COUNTY HEALTH UNIT
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-3400
Practice Address - Country:US
Practice Address - Phone:870-425-3072
Practice Address - Fax:870-424-6646
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM01004 CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR440110401Medicaid