Provider Demographics
NPI:1851491591
Name:CHIU, KAREN ELIZABETH (APRN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:CHIU
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:5833 AEDC RD
Mailing Address - Street 2:
Mailing Address - City:ESTILL SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37330-3915
Mailing Address - Country:US
Mailing Address - Phone:931-392-4169
Mailing Address - Fax:931-392-4187
Practice Address - Street 1:2020 COWAN HWY STE 2
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2405
Practice Address - Country:US
Practice Address - Phone:931-361-0100
Practice Address - Fax:931-962-8856
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2020-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA8316363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIQ12728Medicare UPIN