National Provider Identifier
Karen Lynn Raeder, FNP
Karen Lynn Raeder, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Brooktondale, NY and a listed phone number of (607) 539-7121.
Profile Overview
- NPI
- 1649582354
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 10, 2010
- Last Updated
- September 02, 2016
Practice Location
- 300 South RD
- Brooktondale, NY 14817-9722
Phone: (607) 539-7121
Mailing Address
- 300 South RD.
- Macormick Secure Center
- Brooktondale, NY 14817
Specialties
- Family Nurse Practitioner (363LF0000X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1649582354
- Entity Type
- Individual
- Last Name
- Raeder
- First Name
- Karen
- Middle Name
- Lynn
- Credential
- FNP
- Mailing Street Address
- 300 South RD.
- Mailing Address Line 2
- Macormick Secure Center
- Mailing City
- Brooktondale
- Mailing State
- NY
- Mailing ZIP Code
- 14817
- Mailing Country
- US
- Mailing Phone
- (607) 539-7121
- Practice Street Address
- 300 South RD
- Practice City
- Brooktondale
- Practice State
- NY
- Practice ZIP Code
- 14817-9722
- Practice Country
- US
- Practice Phone
- (607) 539-7121
- Enumeration Date
- July 10, 2010
- Last Updated
- September 02, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Nurse Practitioner (363L00000X)