Provider Demographics
NPI:1326340274
Name:CAIRNS, KAREN KLUSSENDORF (RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:KLUSSENDORF
Last Name:CAIRNS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13700 W GREENWAY RD
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-5291
Mailing Address - Country:US
Mailing Address - Phone:623-876-7704
Mailing Address - Fax:623-876-7711
Practice Address - Street 1:13700 W GREENWAY RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-5291
Practice Address - Country:US
Practice Address - Phone:623-876-7704
Practice Address - Fax:623-876-7711
Is Sole Proprietor?:No
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN159614163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse