Provider Demographics
NPI:1821002262
Name:RYMER, KAREN ANNA (APRN - BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNA
Last Name:RYMER
Suffix:
Gender:F
Credentials:APRN - BC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:R
Other - Last Name:STILLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:801-408-8654
Mailing Address - Fax:
Practice Address - Street 1:54 N. 500 W.
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84116-3326
Practice Address - Country:US
Practice Address - Phone:801-408-8654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT209008-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily