Provider Demographics
NPI:1790340032
Name:TAFOYA, KARINA YVETTE (LVN)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:YVETTE
Last Name:TAFOYA
Suffix:
Gender:F
Credentials:LVN
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 783
Mailing Address - Street 2:
Mailing Address - City:FRIONA
Mailing Address - State:TX
Mailing Address - Zip Code:79035-0783
Mailing Address - Country:US
Mailing Address - Phone:806-626-4434
Mailing Address - Fax:
Practice Address - Street 1:2561 US HWY 60
Practice Address - Street 2:
Practice Address - City:FRIONA
Practice Address - State:TX
Practice Address - Zip Code:79035-7903
Practice Address - Country:US
Practice Address - Phone:806-626-4434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX348115164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse