Provider Demographics
NPI:1144318429
Name:BOHN, KAREN K (NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:K
Last Name:BOHN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9333 N. MERIDIAN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1821
Mailing Address - Country:US
Mailing Address - Phone:317-580-9333
Mailing Address - Fax:317-577-7433
Practice Address - Street 1:9333 N. MERIDIAN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1821
Practice Address - Country:US
Practice Address - Phone:317-580-9333
Practice Address - Fax:317-577-7433
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000621A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM400015439Medicare PIN