Provider Demographics
NPI:1649265554
Name:PRENGER, KAREN SUE (CNS)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUE
Last Name:PRENGER
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 73444
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0002
Mailing Address - Country:US
Mailing Address - Phone:614-262-6772
Mailing Address - Fax:614-262-7074
Practice Address - Street 1:3705 OLENTANGY RIVER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3467
Practice Address - Country:US
Practice Address - Phone:614-262-6772
Practice Address - Fax:614-262-7074
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH03043-NS364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist