Provider Demographics
NPI:1184309387
Name:HATER, KAREN IRENE BONN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:IRENE BONN
Last Name:HATER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8790 APPLEKNOLL LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2104
Mailing Address - Country:US
Mailing Address - Phone:513-608-1497
Mailing Address - Fax:
Practice Address - Street 1:8790 APPLEKNOLL LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2104
Practice Address - Country:US
Practice Address - Phone:513-608-1497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion