Provider Demographics
NPI:1851432538
Name:DAVIS, KAREN H (RN MSN CS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:H
Last Name:DAVIS
Suffix:
Gender:F
Credentials:RN MSN CS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:70 MONET DRIVE
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330
Mailing Address - Country:US
Mailing Address - Phone:609-272-1481
Mailing Address - Fax:609-645-1591
Practice Address - Street 1:70 MONET DRIVE
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330
Practice Address - Country:US
Practice Address - Phone:609-272-1481
Practice Address - Fax:609-645-1591
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN249430L163W00000X
NJ26NC04625800364SP0807X
NJ0146015-02364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
R32566Medicare UPIN