Provider Demographics
NPI:1700097946
Name:AZAR, KAREN LYNN (RNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:AZAR
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10 DAVOL SQ
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4754
Mailing Address - Country:US
Mailing Address - Phone:401-421-4000
Mailing Address - Fax:401-272-1456
Practice Address - Street 1:41 SANDERSON RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-2602
Practice Address - Country:US
Practice Address - Phone:401-349-0366
Practice Address - Fax:401-349-4875
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RINPP37419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily