Provider Demographics
NPI:1194729137
Name:RANCE, KAREN S (CPNP)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:S
Last Name:RANCE
Suffix:
Gender:F
Credentials:CPNP
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 2227
Mailing Address - Street 2:
Mailing Address - City:SKYLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28776-2227
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:3266 N MERIDIAN ST
Practice Address - Street 2:SUITE 900
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5846
Practice Address - Country:US
Practice Address - Phone:317-924-8297
Practice Address - Fax:317-924-8270
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28090629A363LP0200X, 163W00000X, 363L00000X
IN71003336363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ1126012OtherMEDICARE PTAN
IN200997390Medicaid
ININ1125013OtherMEDICARE PTAN
ININ1127013OtherMEDICARE PTAN