Provider Demographics
NPI:1508442211
Name:AUSTIN, KARLA (NURSE/LPN)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:NURSE/LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 F ST NW STE 101
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2708
Mailing Address - Country:US
Mailing Address - Phone:301-974-1183
Mailing Address - Fax:202-822-9131
Practice Address - Street 1:2112 F ST NW STE 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2708
Practice Address - Country:US
Practice Address - Phone:301-974-1183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLPN1007647164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse