Provider Demographics
NPI:1881813020
Name:WELBER, KAROLINA (CRNA)
Entity type:Individual
Prefix:
First Name:KAROLINA
Middle Name:
Last Name:WELBER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CRESTVIEW LN
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3860
Mailing Address - Country:US
Mailing Address - Phone:973-729-8610
Mailing Address - Fax:973-972-2357
Practice Address - Street 1:20 CRESTVIEW LN
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-3860
Practice Address - Country:US
Practice Address - Phone:973-729-8610
Practice Address - Fax:973-972-2357
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11558700367500000X
FLAPRN11023464367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ116213DBFMedicare PIN