Provider Demographics
NPI:1053125757
Name:ISELER, KAREN LEE (AGPCNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LEE
Last Name:ISELER
Suffix:
Gender:
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4174 REDMAN RD
Mailing Address - Street 2:
Mailing Address - City:PORT HOPE
Mailing Address - State:MI
Mailing Address - Zip Code:48468-9734
Mailing Address - Country:US
Mailing Address - Phone:989-670-7854
Mailing Address - Fax:
Practice Address - Street 1:168 N CASEVILLE RD
Practice Address - Street 2:
Practice Address - City:PIGEON
Practice Address - State:MI
Practice Address - Zip Code:48755-9415
Practice Address - Country:US
Practice Address - Phone:989-453-3585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704260100363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology