Berry, Karen Darlene
Berry, Karen Darlene is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 320 , Columbia SC 29203-6896. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Berry, Karen Darlene can be contacted via phone (803) 434-6771.Contact Information
Primary practice address
14 Richland Medical Park Dr Ste 320
Columbia SC 29203-6896
Phone: (803) 434-6771
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F320049-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP007981 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 20833 | South Carolina |
Profile Details
| NPI number | 1013976307 |
|---|---|
| LBN Legal business name | Berry, Karen Darlene |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Feb 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013976307 | NPPES |
| New York | MEDICAID | 02503639 | |
| New York | Other | GU039851 | |
| New York | Other | P00195451 | |
| New York | Other | CC9269 | |
| New York | Other | GU039823 | |
| New York | MEDICAID | NP6637 |
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