Provider Demographics
NPI:1952870289
Name:KARKI, SUJATA (DNP)
Entity Type:Individual
Prefix:
First Name:SUJATA
Middle Name:
Last Name:KARKI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 N EAU CLAIRE AVE APT 309
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2820
Mailing Address - Country:US
Mailing Address - Phone:608-335-9115
Mailing Address - Fax:
Practice Address - Street 1:402 N EAU CLAIRE AVE APT 309
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2820
Practice Address - Country:US
Practice Address - Phone:608-335-9115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8420363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health