Provider Demographics
NPI:1235189127
Name:PLYMPTON, KAREN MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:PLYMPTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SECRETARY TRL
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-4416
Mailing Address - Country:US
Mailing Address - Phone:757-477-3351
Mailing Address - Fax:386-313-1737
Practice Address - Street 1:26 SECRETARY TRL
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-4416
Practice Address - Country:US
Practice Address - Phone:757-477-3351
Practice Address - Fax:386-313-1737
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9231576363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner