Provider Demographics
NPI:1679515191
Name:SENNETT, KAREN C (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:C
Last Name:SENNETT
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:ME
Mailing Address - Zip Code:04910-6017
Mailing Address - Country:US
Mailing Address - Phone:207-437-2472
Mailing Address - Fax:
Practice Address - Street 1:325D KENNEDY MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4530
Practice Address - Country:US
Practice Address - Phone:207-873-4411
Practice Address - Fax:207-872-5542
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER019767163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432009999Medicaid
ME042422OtherANTHEM
ME3165109OtherAETNA