Provider Demographics
NPI:1740297548
Name:DEMING, KARIE A (ANP)
Entity type:Individual
Prefix:
First Name:KARIE
Middle Name:A
Last Name:DEMING
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 PLANK RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-4881
Mailing Address - Country:US
Mailing Address - Phone:518-350-8444
Mailing Address - Fax:518-350-8441
Practice Address - Street 1:634 PLANK RD STE 103
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-4881
Practice Address - Country:US
Practice Address - Phone:518-350-8444
Practice Address - Fax:518-350-8441
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF302997363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00979398OtherRR MEDICARE
NY00630039Medicaid
NY00630039Medicaid
NYP26604Medicare UPIN