Basic Information
| Provider Information | |||||||||
| NPI: | 1124207758 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOERNER | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | WILKIE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RN, MSN,PNP,FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 60 COMMERCE PLAZA CIR | ||||||||
| Address2: | |||||||||
| City: | PEMBROKE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283727386 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9105212900 | ||||||||
| FaxNumber: | 9107759165 | ||||||||
| Practice Location | |||||||||
| Address1: | 103 COTTON CREEK RD | ||||||||
| Address2: | |||||||||
| City: | STAR | ||||||||
| State: | NC | ||||||||
| PostalCode: | 273567954 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9104289020 | ||||||||
| FaxNumber: | 9104289022 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2007 | ||||||||
| LastUpdateDate: | 10/05/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WD0400X | 056780 | NC | N | Nursing Service Providers | Registered Nurse | Diabetes Educator | 363LF0000X | 56780 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.