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Individual
MRS. KAREN DARLENE BERRY
Active
Individual
MRS. KAREN DARLENE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20833
SC
363L00000X
Nurse Practitioner
F320049-1
NY
363L00000X
Nurse Practitioner
SP007981
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02503639
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039823
MEDICARE GROUP
PA
01
—
GU039851
MEDICARE GROUP
PA
05
—
NP6637
—
SC
01
—
P00195451
RR MEDICARE PIN
PA
Enumeration date
03/23/2006
Last updated
02/28/2022
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