Provider Demographics
NPI:1710552088
Name:EGAN, KAREN ANN (CRNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:EGAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:5936 LIMESTONE RD STE 301B
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8932
Mailing Address - Country:US
Mailing Address - Phone:302-235-8808
Mailing Address - Fax:302-235-8815
Practice Address - Street 1:839 LINCOLN AVE STE 3
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4562
Practice Address - Country:US
Practice Address - Phone:302-235-8808
Practice Address - Fax:302-235-8815
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP023370363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty