Basic Information
Provider Information
NPI: 1942755343
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARKER
FirstName: KARA
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: APNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1202 MEDICAL CENTER DR
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284017307
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1202 MEDICAL CENTER DR
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284017307
CountryCode: US
TelephoneNumber: 9103413300
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/16/2016
LastUpdateDate: 07/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X7072WIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000X5012639NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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