Provider Demographics
NPI:1366787962
Name:SHEARER, KARLA (APRN)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:SHEARER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 CAMARGO RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-3107
Mailing Address - Country:US
Mailing Address - Phone:513-528-8050
Mailing Address - Fax:513-528-8151
Practice Address - Street 1:7625 CAMARGO RD STE 200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-3107
Practice Address - Country:US
Practice Address - Phone:513-528-8050
Practice Address - Fax:513-528-8151
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 14328363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0086508Medicaid
OHH190790Medicare PIN