Individual
KAREN BARNES-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
25 W DIVISION ST, EVANSVILLE, IN 47710-1374
(812) 436-4501
(812) 436-4510
Mailing address
315 MULBERRY ST, EVANSVILLE, IN 47713-1252
(812) 421-7489
(812) 436-0209
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71000074A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488313
ANTHEM PIN
IN
01
—
000000864712
BCBS
IN
01
—
200079040D
MEDICAID GROUP
IN
05
—
200512220
—
IN
01
—
200829650D
MEDICAID GROUP
IN
01
—
237890
MEDICARE GROUP
IN
01
—
65945420
MEDICAID GROUP
KY
Enumeration date
05/24/2006
Last updated
01/05/2021
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