Provider Demographics
NPI:1033082417
Name:RANCOURT, KARA ELIZABETH (CRNP)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:ELIZABETH
Last Name:RANCOURT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 IRENE ST APT 415
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-5409
Mailing Address - Country:US
Mailing Address - Phone:267-614-9030
Mailing Address - Fax:
Practice Address - Street 1:1560 IRENE ST APT 415
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-5409
Practice Address - Country:US
Practice Address - Phone:267-614-9030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP033764363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty