Provider Demographics
NPI:1396141438
Name:LOWDER, KAREN NICOLE (RN, BSN, MHA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:NICOLE
Last Name:LOWDER
Suffix:
Gender:F
Credentials:RN, BSN, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 GREEN SEA RD
Mailing Address - Street 2:
Mailing Address - City:GREEN SEA
Mailing Address - State:SC
Mailing Address - Zip Code:29545-5004
Mailing Address - Country:US
Mailing Address - Phone:843-995-2324
Mailing Address - Fax:
Practice Address - Street 1:145 E CHEVES ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2526
Practice Address - Country:US
Practice Address - Phone:843-661-4835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC90739163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse