Provider Demographics
NPI:1881043842
Name:LIMPER, KARYNE SOUZA (FNP)
Entity Type:Individual
Prefix:
First Name:KARYNE SOUZA
Middle Name:
Last Name:LIMPER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 BORDEAUX WAY
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-6696
Mailing Address - Country:US
Mailing Address - Phone:408-679-1879
Mailing Address - Fax:
Practice Address - Street 1:410 BORDEAUX WAY
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-6696
Practice Address - Country:US
Practice Address - Phone:408-679-1879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA730051163W00000X
CA2005458732163WW0000X
CAF0516130363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WW0000XNursing Service ProvidersRegistered NurseWound Care