Provider Demographics
NPI:1831244185
Name:PRICHARD, KAREN A (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:PRICHARD
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:A
Other - Last Name:GLASNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:40 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301
Mailing Address - Country:US
Mailing Address - Phone:610-597-0870
Mailing Address - Fax:484-893-7096
Practice Address - Street 1:240 UNION STATION PLAZA
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015
Practice Address - Country:US
Practice Address - Phone:484-526-2786
Practice Address - Fax:484-893-7096
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN257254L163W00000X, 163WC1500X
PARN2757254L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101655751-0002Medicaid
PA1016557510001Medicaid
PA1016557510002Medicaid