Provider Demographics
NPI:1750700639
Name:TRITT, KAREN (RN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:TRITT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23325 WIMBLEDON RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-3163
Mailing Address - Country:US
Mailing Address - Phone:216-295-4073
Mailing Address - Fax:216-295-4017
Practice Address - Street 1:23325 WIMBLEDON RD
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-3163
Practice Address - Country:US
Practice Address - Phone:216-295-4073
Practice Address - Fax:216-295-4017
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.248450163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool