Provider Demographics
NPI:1063907897
Name:AUSTIN, KARYN (MSN, APN, CPNP)
Entity type:Individual
Prefix:MS
First Name:KARYN
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MSN, APN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BROADWAY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-1842
Mailing Address - Country:US
Mailing Address - Phone:201-794-8855
Mailing Address - Fax:201-794-6988
Practice Address - Street 1:1 BROADWAY
Practice Address - Street 2:SUITE 303
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-1842
Practice Address - Country:US
Practice Address - Phone:201-794-8855
Practice Address - Fax:201-794-6988
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00837500363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics