Provider Demographics
NPI:1669713038
Name:WINDOFFER, KAREN E (FNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:WINDOFFER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10666 N TORREY PINES RD
Mailing Address - Street 2:(HR/ECC), GRN 109
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1027
Mailing Address - Country:US
Mailing Address - Phone:858-554-2397
Mailing Address - Fax:858-554-2391
Practice Address - Street 1:10666 N TORREY PINES RD
Practice Address - Street 2:(HR/ECC), GRN 109
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1027
Practice Address - Country:US
Practice Address - Phone:858-554-2397
Practice Address - Fax:858-554-2391
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA293359363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner