Provider Demographics
NPI:1154020329
Name:FOOTS, KARINA (NP)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:FOOTS
Suffix:
Gender:
Credentials:NP
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 278
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-0278
Mailing Address - Country:US
Mailing Address - Phone:614-892-5365
Mailing Address - Fax:614-356-8540
Practice Address - Street 1:MORROW COUNTY HOSPITAL
Practice Address - Street 2:651 W. MARION ST
Practice Address - City:MT GILEAD
Practice Address - State:OH
Practice Address - Zip Code:43338
Practice Address - Country:US
Practice Address - Phone:419-946-5015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAG01230018363L00000X
OH003302363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner