Provider Demographics
NPI:1609138585
Name:TALERICO, KARLIN HASKINS (CRNA, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KARLIN
Middle Name:HASKINS
Last Name:TALERICO
Suffix:
Gender:F
Credentials:CRNA, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 RIDGE FALLS LN
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-8015
Mailing Address - Country:US
Mailing Address - Phone:919-720-0467
Mailing Address - Fax:
Practice Address - Street 1:12335 WAKE UNION CHURCH RD STE 203
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-4527
Practice Address - Country:US
Practice Address - Phone:919-720-0467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC224009163W00000X
NC91106367500000X
NC5019607363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC224009OtherNURSING LICENSURE
NC5019607OtherNORTH CAROLINA BOARD OF NUSING- FNP-C LICENSE
NC2143OtherNORTH CAROLINA BOARD OF NURSING- CRNA LICENSE