Provider Demographics
NPI:1124870399
Name:WEBSTER, KAREN (DNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 E HOWARD ST STE 85
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-1905
Mailing Address - Country:US
Mailing Address - Phone:218-440-1910
Mailing Address - Fax:218-440-1909
Practice Address - Street 1:522 E HOWARD ST STE 85
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-1905
Practice Address - Country:US
Practice Address - Phone:218-440-1910
Practice Address - Fax:218-440-1909
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11847363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health