Provider Demographics
NPI:1477883221
Name:AUBERTINE, KAREN SUE (RN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SUE
Last Name:AUBERTINE
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 1:27801 TAMARACK RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:13679-3145
Mailing Address - Country:US
Mailing Address - Phone:315-482-2550
Mailing Address - Fax:315-482-2550
Practice Address - Street 1:27801 TAMARACK RD
Practice Address - Street 2:
Practice Address - City:REDWOOD
Practice Address - State:NY
Practice Address - Zip Code:13679-3145
Practice Address - Country:US
Practice Address - Phone:315-482-2550
Practice Address - Fax:315-482-2550
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY444595-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse