Provider Demographics
NPI:1184865784
Name:SUMNER, KAREN G (RN, BSN, RNFA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:G
Last Name:SUMNER
Suffix:
Gender:F
Credentials:RN, BSN, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3256 ARIES CT
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-8625
Mailing Address - Country:US
Mailing Address - Phone:760-731-0313
Mailing Address - Fax:760-731-0414
Practice Address - Street 1:3256 ARIES CT
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-8625
Practice Address - Country:US
Practice Address - Phone:760-731-0313
Practice Address - Fax:760-731-0414
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA401658163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant