Provider Demographics
NPI:1477066728
Name:HOOKER, KAREN RENEE (RN, MSN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:RENEE
Last Name:HOOKER
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:RENEE
Other - Last Name:INGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15412 20A RD
Mailing Address - Street 2:
Mailing Address - City:CULVER
Mailing Address - State:IN
Mailing Address - Zip Code:46511-9745
Mailing Address - Country:US
Mailing Address - Phone:574-250-5104
Mailing Address - Fax:
Practice Address - Street 1:1919 LAKE AVE STE 102B
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-7830
Practice Address - Country:US
Practice Address - Phone:574-948-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28154928A163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management