Provider Demographics
NPI:1114549060
Name:LEYERS, KAREN L (BSN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:LEYERS
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SUMMER GLEN DR
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-4627
Mailing Address - Country:US
Mailing Address - Phone:864-963-7675
Mailing Address - Fax:
Practice Address - Street 1:17 SUMMER GLEN DR
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-4627
Practice Address - Country:US
Practice Address - Phone:864-963-7675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC109845251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care