Provider Demographics
NPI:1942982038
Name:COLEY, KARENINA LYNNE (RN)
Entity Type:Individual
Prefix:MS
First Name:KARENINA
Middle Name:LYNNE
Last Name:COLEY
Suffix:
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 1:234 GOODWIN CREST DR
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3701
Mailing Address - Country:US
Mailing Address - Phone:205-290-4550
Mailing Address - Fax:
Practice Address - Street 1:234 GOODWIN CREST DR
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-3701
Practice Address - Country:US
Practice Address - Phone:208-290-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-100597163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse