Provider Demographics
NPI:1174281307
Name:SIMON, KAREN CHRISTINA
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:CHRISTINA
Last Name:SIMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9617 CLIFF VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-0239
Mailing Address - Country:US
Mailing Address - Phone:559-267-8096
Mailing Address - Fax:
Practice Address - Street 1:9617 CLIFF VIEW WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-0239
Practice Address - Country:US
Practice Address - Phone:559-267-8096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-05
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker