Provider Demographics
NPI:1982841334
Name:BENDER, KAREN ELISE (RN, ND)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELISE
Last Name:BENDER
Suffix:
Gender:F
Credentials:RN, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 FARMINGTON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1915
Mailing Address - Country:US
Mailing Address - Phone:860-674-0111
Mailing Address - Fax:806-677-5406
Practice Address - Street 1:231 FARMINGTON AVE STE 201
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1915
Practice Address - Country:US
Practice Address - Phone:860-674-0111
Practice Address - Fax:806-677-5406
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN151483163WS0200X
CT661175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No163WS0200XNursing Service ProvidersRegistered NurseSchool