Provider Demographics
NPI:1538181516
Name:BOZAR OVALLE, KAREN M (NP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:BOZAR OVALLE
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:3102 PHEASANT RUN DR
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-4416
Mailing Address - Country:US
Mailing Address - Phone:856-829-0529
Mailing Address - Fax:
Practice Address - Street 1:201 MULLICA HILL RD
Practice Address - Street 2:ROWAN UNIVERSITY STUDENT HEALTH, LINDEN HALL
Practice Address - City:GLASSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08028-1700
Practice Address - Country:US
Practice Address - Phone:856-256-4333
Practice Address - Fax:856-256-4427
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN05081300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJS46295Medicare UPIN