Provider Demographics
NPI:1831149202
Name:CLAPP, KAREN R (NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:CLAPP
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:R
Other - Last Name:CLAPP-HUMBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:555 QUALITY COURT
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:54180
Mailing Address - Country:US
Mailing Address - Phone:920-532-6320
Mailing Address - Fax:
Practice Address - Street 1:555 QUALITY COURT
Practice Address - Street 2:
Practice Address - City:WRIGHTSTOWN
Practice Address - State:WI
Practice Address - Zip Code:54180
Practice Address - Country:US
Practice Address - Phone:920-532-6320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2457363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIMC1406138OtherDEA CERTIFICATE