Provider Demographics
NPI:1770041295
Name:RUE, KAREN R (RN-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:RUE
Suffix:
Gender:F
Credentials:RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 DECATUR AVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-6618
Mailing Address - Country:US
Mailing Address - Phone:337-280-5812
Mailing Address - Fax:
Practice Address - Street 1:1001 W. PINHOOK RD
Practice Address - Street 2:BLDG #3, STE. 212
Practice Address - City:LAFAYETTE, LA
Practice Address - State:LA
Practice Address - Zip Code:70503
Practice Address - Country:US
Practice Address - Phone:337-988-0076
Practice Address - Fax:337-988-7155
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN032875163W00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No163W00000XNursing Service ProvidersRegistered Nurse