Provider Demographics
NPI:1982087565
Name:BESEMAN, KAREN (BSN,PHN,RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BESEMAN
Suffix:
Gender:F
Credentials:BSN,PHN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:118 NORTH MAIN
Mailing Address - City:NEW YORK MILLS
Mailing Address - State:MN
Mailing Address - Zip Code:56567-0099
Mailing Address - Country:US
Mailing Address - Phone:218-385-5506
Mailing Address - Fax:218-385-3852
Practice Address - Street 1:560 W FIR AVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-1364
Practice Address - Country:US
Practice Address - Phone:218-998-8320
Practice Address - Fax:218-998-8352
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 108236 0251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNR 108236-0OtherRN LICENSE