Doctor Name: | KARI PRATT |
NPI Number: | 1023031697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | AC000662 |
Business Practice Address: | 87 Thomas Johnson Dr Ste 101 Frederick, MD - 217024427 |
Business Phone Number: | 3016940606 |
Business Fax Number: | 3016626928 |
Mailing Address: | 87 Thomas Johnson Dr, Ste 101 FREDERICK |
State: | MD |
Postal Code: | 217024427 |
Phone Number: | 3016940606 |
Fax Number: | 3016626928 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 12/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | AC000662 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |