Provider Demographics
NPI:1457401671
Name:ESTABROOK, KAREN JEAN (ARNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JEAN
Last Name:ESTABROOK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 KELLY BROOK LN
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03826-2444
Mailing Address - Country:US
Mailing Address - Phone:603-382-6479
Mailing Address - Fax:
Practice Address - Street 1:2500 N RIVER RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03106-1018
Practice Address - Country:US
Practice Address - Phone:603-645-9679
Practice Address - Fax:603-645-9711
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH041602-23363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner