Provider Demographics
NPI:1578055927
Name:MARTINELLI, KAREN A (RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:MARTINELLI
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 1:825 SPRINGDALE DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2843
Mailing Address - Country:US
Mailing Address - Phone:484-565-1133
Mailing Address - Fax:484-565-8219
Practice Address - Street 1:825 SPRINGDALE DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2843
Practice Address - Country:US
Practice Address - Phone:484-565-1133
Practice Address - Fax:484-565-8219
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN613023163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse