Provider Demographics
NPI:1215103502
Name:CLANCY, KAREN LOUISE (MS RN NNPBC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LOUISE
Last Name:CLANCY
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Gender:F
Credentials:MS RN NNPBC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:700 CHILDRENS DRIVE
Mailing Address - Street 2:NATIONWIDE CHILDRENS HOSPITAL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215
Mailing Address - Country:US
Mailing Address - Phone:614-722-4654
Mailing Address - Fax:614-722-4772
Practice Address - Street 1:700 CHILDRENS DR
Practice Address - Street 2:NATIONWIDE CHILDRENS HOSP
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215
Practice Address - Country:US
Practice Address - Phone:614-722-6510
Practice Address - Fax:614-722-4772
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHCLA104278445363LN0005X
OHNP04721363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care