Provider Demographics
NPI:1598416323
Name:VACALIUC, KAREN (CBD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:VACALIUC
Suffix:
Gender:F
Credentials:CBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-4922
Mailing Address - Country:US
Mailing Address - Phone:865-219-3913
Mailing Address - Fax:
Practice Address - Street 1:890 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-4922
Practice Address - Country:US
Practice Address - Phone:865-219-3913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty