Provider Demographics
NPI:1437634862
Name:COX, KAREN R (MSN, RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:COX
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6828 HATCHERY RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1122
Mailing Address - Country:US
Mailing Address - Phone:124-882-1236
Mailing Address - Fax:
Practice Address - Street 1:3186 SUMMERS RD
Practice Address - Street 2:
Practice Address - City:KEEGO HARBOR
Practice Address - State:MI
Practice Address - Zip Code:48320-1372
Practice Address - Country:US
Practice Address - Phone:248-499-8216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704287237163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation