Provider Demographics
NPI:1386601961
Name:WESSELHOEFT, KAREN BETH (PMHNP-BC; FNP-BC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:BETH
Last Name:WESSELHOEFT
Suffix:
Gender:
Credentials:PMHNP-BC; FNP-BC
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:BETH
Other - Last Name:TABELE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:EQUINOX
Mailing Address - Street 2:500 CENTRAL AVE
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-2213
Mailing Address - Country:US
Mailing Address - Phone:518-435-9931
Mailing Address - Fax:518-459-3715
Practice Address - Street 1:EQUINOX
Practice Address - Street 2:500 CENTRAL AVE
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-2213
Practice Address - Country:US
Practice Address - Phone:518-435-9931
Practice Address - Fax:518-459-3715
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0496562303207V00000X
NYF405995363LP0808X
NYF337064363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30341801Medicaid
NP3643Medicare ID - Type Unspecified
NH30341801Medicaid