# STACY ELAINE KAREM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083346860
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3016724 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | 3016724 | KY | — |

## Other

- **Enumeration date:** 06/29/2022
- **Last updated:** 10/23/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 122620036 | IN MEDICARE | IN |
| 05 | — | 300073053 | — | IN |
| 05 | — | 7100837860 | — | KY |
| 01 | — | K206441 | KY MEDICARE | KY |