Provider Demographics
NPI:1740820810
Name:DRAIN, KARLA ANN (LPN)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:ANN
Last Name:DRAIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 COUNTY ROAD 28
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:NY
Mailing Address - Zip Code:14522-9403
Mailing Address - Country:US
Mailing Address - Phone:585-967-8447
Mailing Address - Fax:
Practice Address - Street 1:319 COUNTY ROAD 28
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NY
Practice Address - Zip Code:14522-9403
Practice Address - Country:US
Practice Address - Phone:585-967-8447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311151164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse