Provider Demographics
NPI:1306464607
Name:BUDDINGTON, KAREN ELLER (NP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELLER
Last Name:BUDDINGTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 STONEWALL HTS NE
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-2827
Mailing Address - Country:US
Mailing Address - Phone:276-356-2525
Mailing Address - Fax:
Practice Address - Street 1:176 VALLEY ST NW
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2859
Practice Address - Country:US
Practice Address - Phone:276-628-9547
Practice Address - Fax:276-807-1217
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024180739363LF0000X
VA0001139233163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse