Provider Demographics
NPI:1457537219
Name:TELUSMA, KARLINE MARIE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:KARLINE
Middle Name:MARIE
Last Name:TELUSMA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KARLINE
Other - Middle Name:MARIE
Other - Last Name:PIERRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1329 SW 16TH ST RM 2232
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1128
Mailing Address - Country:US
Mailing Address - Phone:352-733-0485
Mailing Address - Fax:352-265-8077
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3019
Practice Address - Country:US
Practice Address - Phone:352-733-0485
Practice Address - Fax:352-265-8077
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3369282367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102268000Medicaid
FL309116300Medicaid