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Contact Information

CARLA K ATHEN, FNP-C
3231 S NATIONAL AVE
SUITE 300
SPRINGFIELD, MO65807-7304
 Phone: 417-841-0285
 Fax: 417-841-0286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CARLA K ATHEN · (Female)

NPI # 1134501695
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 06/22/2015
Last updated 10/15/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2015019756
  • MO Medicaid 1134501695
Hospital affiliation(s)
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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