Provider Demographics
NPI:1386968584
Name:SANTORA, KAREN PATRICIA (APRN)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:PATRICIA
Last Name:SANTORA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:DULEY
Other - Last Name:SANTORA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:ONE MEDICAL CENTER DR.
Mailing Address - Street 2:DEPARTMENT OF ORTHOPAEDICS
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-0001
Mailing Address - Country:US
Mailing Address - Phone:603-650-5133
Mailing Address - Fax:603-650-2097
Practice Address - Street 1:ONE MEDICAL CENTER DR.
Practice Address - Street 2:DEPARTMENT OF ORTHOPAEDICS
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-0001
Practice Address - Country:US
Practice Address - Phone:603-650-5133
Practice Address - Fax:603-650-2097
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1381272363LA2200X
NH065477-23363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3081857Medicaid
VT1020407Medicaid