Individual
MRS. KAREN ELIZABETH CERCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
701 WALL ST, VALPARAISO, IN 46383
(219) 288-8419
(219) 462-1180
Mailing address
1047 CRABTREE LN, CHESTERTON, IN 46304-3128
(219) 728-7186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28156309
IN
363LF0000X
Family Nurse Practitioner
28156309A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008385A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020031
—
IN
Enumeration date
09/03/2018
Last updated
04/15/2024
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