Provider Demographics
NPI:1396070330
Name:FAIRCHILD, KAREN KRAUSE (RN, MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:KRAUSE
Last Name:FAIRCHILD
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 MACARTHUR RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3810
Mailing Address - Country:US
Mailing Address - Phone:484-426-2026
Mailing Address - Fax:484-426-2027
Practice Address - Street 1:2402 MACARTHUR RD
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3810
Practice Address - Country:US
Practice Address - Phone:484-426-2026
Practice Address - Fax:484-426-2027
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-08
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010498363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA800577Medicare PIN