Karen Birkholz, RN
Individual provider Active NPI Registered Nurse · Clyde, OH
NPI 1760071880 · NPPES record last updated Jan 13, 2021
Key facts
- NPI
- 1760071880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 401216 (OH)
- Practice address
- 175 Excalibur LN
Clyde, OH 43410-1487 - Phone
- (419) 603-1081
- NPI assigned
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9535077 | FL | MD | Registered Nurse |
| 401216 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9535077 | FL | |
| Registered Nurse | 163W00000X | 401216 | OH | Yes |
Addresses
Primary practice location
175 Excalibur LN
Clyde, OH 43410-1487
Mailing address
175 Excalibur LN
Clyde, OH 43410-1487
Phone (419) 603-1081
Other providers in Clyde, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.