Provider Demographics
NPI:1588045207
Name:KARUE, EUNICE (LPN)
Entity Type:Individual
Prefix:
First Name:EUNICE
Middle Name:
Last Name:KARUE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2943
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01613-2943
Mailing Address - Country:US
Mailing Address - Phone:508-868-6944
Mailing Address - Fax:
Practice Address - Street 1:23 MIDSTATE DR
Practice Address - Street 2:SUITE 214
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1857
Practice Address - Country:US
Practice Address - Phone:774-243-1179
Practice Address - Fax:774-243-1189
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN58896164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse