Provider Demographics
NPI:1992212773
Name:PITTARD, KAREN AGAR (RN, MSN, CDCES)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:AGAR
Last Name:PITTARD
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Gender:F
Credentials:RN, MSN, CDCES
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Mailing Address - Street 1:SENTARA CAREPLEX HOSPITAL
Mailing Address - Street 2:4000 COLISEUM DRIVE, SUITE 420
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666
Mailing Address - Country:US
Mailing Address - Phone:757-827-2313
Mailing Address - Fax:757-827-2173
Practice Address - Street 1:SENTARA CAREPLEX HOSPITAL
Practice Address - Street 2:4000 COLISEUM DRIVE, SUITE 420
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666
Practice Address - Country:US
Practice Address - Phone:757-827-2313
Practice Address - Fax:757-827-2173
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0001070823163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator