Provider Demographics
NPI:1770719908
Name:EHLERS, KAREN L (RN,NREMT)
Entity type:Individual
Prefix:MR
First Name:KAREN
Middle Name:L
Last Name:EHLERS
Suffix:
Gender:F
Credentials:RN,NREMT
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:MENACHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, NREMT
Mailing Address - Street 1:PO BOX 2311
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57709-2311
Mailing Address - Country:US
Mailing Address - Phone:605-867-6392
Mailing Address - Fax:
Practice Address - Street 1:BOX 1201, EAST HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:PINE RIDGE
Practice Address - State:SD
Practice Address - Zip Code:57770-1201
Practice Address - Country:US
Practice Address - Phone:605-867-5131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR031076163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency