Provider Demographics
NPI:1497902506
Name:FIELD, KAREN CONSTANCE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:CONSTANCE
Last Name:FIELD
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12 PLATINUM CT
Mailing Address - Street 2:STE C
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-2247
Mailing Address - Country:US
Mailing Address - Phone:631-996-4430
Mailing Address - Fax:
Practice Address - Street 1:12 PLATINUM CT
Practice Address - Street 2:STE C
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-2247
Practice Address - Country:US
Practice Address - Phone:631-996-4430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF401135-1364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult