Provider Demographics
NPI:1821279407
Name:TRAMUTOLA, KARLA I (RN)
Entity Type:Individual
Prefix:MS
First Name:KARLA
Middle Name:
Last Name:TRAMUTOLA
Suffix:I
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 1:165 ALEXANDRIA WAY
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2769
Mailing Address - Country:US
Mailing Address - Phone:973-476-7483
Mailing Address - Fax:
Practice Address - Street 1:165 ALEXANDRIA WAY
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2769
Practice Address - Country:US
Practice Address - Phone:973-476-7483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-24
Last Update Date:2007-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12044300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse