Provider Demographics
NPI:1922701630
Name:RASMUSSEN, KARALENE BROWN (RN, PHN)
Entity Type:Individual
Prefix:MS
First Name:KARALENE
Middle Name:BROWN
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 DOLPHIN CT
Mailing Address - Street 2:
Mailing Address - City:DISCOVERY BAY
Mailing Address - State:CA
Mailing Address - Zip Code:94505-9362
Mailing Address - Country:US
Mailing Address - Phone:925-872-0442
Mailing Address - Fax:
Practice Address - Street 1:2450 WASHINGTON AVE STE 240
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-5943
Practice Address - Country:US
Practice Address - Phone:510-504-7292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95039388163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management