Provider Demographics
NPI:1457949695
Name:STAGGERS, KARAN (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KARAN
Middle Name:
Last Name:STAGGERS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 VIRGINIA ST STE F
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-3796
Mailing Address - Country:US
Mailing Address - Phone:214-862-5756
Mailing Address - Fax:469-332-3118
Practice Address - Street 1:2100 VIRGINIA ST STE F
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-3796
Practice Address - Country:US
Practice Address - Phone:214-862-5756
Practice Address - Fax:469-332-3118
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1023287363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily