KAREN KOMORNICKA RN NP NPI 1235126822

NPI Information

NPI: 1235126822
Provider Name: KAREN KOMORNICKA, RN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8520 W OKLAHOMA AVE
MILWAUKEE, WI
ZIP 53227
Phone: (414) 607-4100
Get Directions

Karen Komornicka, RN, NP is a family nurse practitioner in Milwaukee, WI. Karen Komornicka, RN, NP NPI is 1235126822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8520 W OKLAHOMA AVE
MILWAUKEE, WI
ZIP 53227-604
Phone: (414) 607-4100
Fax: (414) 607-4502

The NPI 1235126822 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/29/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		102451	WISCONSIN	No
2	163WC1600X	Registered Nurse	Continuing Education/Staff Development	102451	WISCONSIN	No
3	163WC2100X	Registered Nurse	Continence Care	102451	WISCONSIN	No
4	163WG0000X	Registered Nurse	General Practice	102451	WISCONSIN	No
5	163WG0600X	Registered Nurse	Gerontology	102451	WISCONSIN	No
6	163WW0000X	Registered Nurse	Wound Care	102451	WISCONSIN	No
7	163WX1500X	Registered Nurse	Ostomy Care	102451	WISCONSIN	No
8	363L00000X	Nurse Practitioner		799	WISCONSIN	No
9	363LA2200X	Nurse Practitioner	Adult Health	799	WISCONSIN	No
10	363LF0000X	Nurse Practitioner	Family	799	WISCONSIN	Yes
11	363LG0600X	Nurse Practitioner	Gerontology	799	WISCONSIN	No
12	364SL0600X	Clinical Nurse Specialist	Long-Term Care	799	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	799	OTHER	WISCONSIN	STATE LICENSE NP
2	102451	OTHER	WISCONSIN	STATE LICENSE RN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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