Provider Demographics
NPI:1649424219
Name:SLIWOWSKI, KAREN RENEE (RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:RENEE
Last Name:SLIWOWSKI
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 1:609 WATERFORD CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2573
Mailing Address - Country:US
Mailing Address - Phone:615-360-7735
Mailing Address - Fax:
Practice Address - Street 1:609 WATERFORD CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2573
Practice Address - Country:US
Practice Address - Phone:615-360-7735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000110631163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNRN0000110631OtherRN LICENSE