Provider Demographics
NPI:1881615896
Name:DRAPER, KAREN B (CRNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:B
Last Name:DRAPER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 AFFLINK PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2289
Mailing Address - Country:US
Mailing Address - Phone:205-366-9740
Mailing Address - Fax:205-344-9992
Practice Address - Street 1:1410 MCFARLAND BLVD N
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2209
Practice Address - Country:US
Practice Address - Phone:205-345-8208
Practice Address - Fax:205-345-8209
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-045212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051553208Medicaid
ALP00023513OtherRAILROAD MEDICARE
AL51515612OtherBLUE CROSS BLUE SHIELD
AL51514279OtherBLUE CROSS BLUE SHIELD
AL51515543OtherBLUE CROSS BLUE SHIELD
AL891005330Medicaid
AL51514279OtherBLUE CROSS BLUE SHIELD
AL051553208Medicaid