Provider Demographics
NPI:1043487952
Name:MASCHUE, KAREN SUE (LPN, LM)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:SUE
Last Name:MASCHUE
Suffix:
Gender:F
Credentials:LPN, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7353 N 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051
Mailing Address - Country:US
Mailing Address - Phone:602-487-0504
Mailing Address - Fax:623-792-8187
Practice Address - Street 1:7353 N 41ST AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-8160
Practice Address - Country:US
Practice Address - Phone:602-487-0504
Practice Address - Fax:623-792-8187
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLM137176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife