Provider Demographics
NPI:1740976687
Name:STRATMAN, KAREN MARIE (CNA)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MARIE
Last Name:STRATMAN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:PUCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 110
Mailing Address - Street 2:
Mailing Address - City:SUGAR TREE
Mailing Address - State:TN
Mailing Address - Zip Code:38380-0110
Mailing Address - Country:US
Mailing Address - Phone:520-233-0627
Mailing Address - Fax:
Practice Address - Street 1:401 DRY BRANCH RD
Practice Address - Street 2:
Practice Address - City:SUGAR TREE
Practice Address - State:TN
Practice Address - Zip Code:38380-0110
Practice Address - Country:US
Practice Address - Phone:520-233-0627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00216089376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty