Provider Demographics
NPI:1164158606
Name:LIVORNESE, KAREN (RN, MSN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:LIVORNESE
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4206 CORDELL ST
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3448
Mailing Address - Country:US
Mailing Address - Phone:703-863-7678
Mailing Address - Fax:
Practice Address - Street 1:4206 CORDELL ST
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3448
Practice Address - Country:US
Practice Address - Phone:703-863-7678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY482930163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health