# MS. KAREN LOUISE MALLOW

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

## Provider details

- **NPI number:** 1396786034
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0024174910 | VA | — |
| 363L00000X | Nurse Practitioner | APRN99622 | WV | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | NP 01828 | OH | — |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000553547 | ANTHEM | OH |
| 05 | — | 1396786034 | — | WV |
| 05 | — | 2321722 | — | OH |
| 01 | — | 341847368040 | CARESOURCE | OH |