Provider Demographics
NPI:1316926603
Name:MERA, KAREN ELISE (APRN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ELISE
Last Name:MERA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:US DEPT OFSTATE
Mailing Address - Street 2:M/MED/QI SA-1
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20522-0001
Mailing Address - Country:US
Mailing Address - Phone:202-663-1519
Mailing Address - Fax:202-663-3247
Practice Address - Street 1:US DEPT OFSTATE
Practice Address - Street 2:M/MED/QI SA-1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0001
Practice Address - Country:US
Practice Address - Phone:202-663-1519
Practice Address - Fax:202-663-3247
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT002549363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner