Provider Demographics
NPI:1477126506
Name:KARR, HEIDI GAY (LPN)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:GAY
Last Name:KARR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:HEIDI
Other - Middle Name:GAY
Other - Last Name:LUNDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:748 OLOKELE AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1019
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:748 OLOKELE AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-1019
Practice Address - Country:US
Practice Address - Phone:808-426-7850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILPN-20096164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse