Provider Demographics
NPI:1962478552
Name:NELSON, KAREN BAUMAN (MSN, ARNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:BAUMAN
Last Name:NELSON
Suffix:
Gender:F
Credentials:MSN, ARNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4943 CHARLOTTE CT
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-5605
Mailing Address - Country:US
Mailing Address - Phone:913-631-7461
Mailing Address - Fax:
Practice Address - Street 1:KU OTO HNS MS 3010
Practice Address - Street 2:3901 RAINBOW BLVD.
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6719
Practice Address - Fax:913-588-4676
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS13.41674.082363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS44877OtherARNP LICENSE