Provider Demographics
NPI:1447563325
Name:COBURN, KAREN MARIE (NP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MARIE
Last Name:COBURN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:SBUMC
Mailing Address - Street 2:HSC T 9 020
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8091
Mailing Address - Country:US
Mailing Address - Phone:631-444-2024
Mailing Address - Fax:631-444-9175
Practice Address - Street 1:SBUMC
Practice Address - Street 2:HSC T 9 020
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8091
Practice Address - Country:US
Practice Address - Phone:631-444-2024
Practice Address - Fax:631-444-9175
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF360197363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology