Provider Demographics
NPI:1740396118
Name:LIVINGSTON, KAREN ANN
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:HAUGEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2309 ROBBIE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2908
Mailing Address - Country:US
Mailing Address - Phone:402-292-5836
Mailing Address - Fax:
Practice Address - Street 1:2309 ROBBIE AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2908
Practice Address - Country:US
Practice Address - Phone:402-292-5836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide