Provider Demographics
NPI:1770988222
Name:SCIPIO, KARLA (RN092729)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:SCIPIO
Suffix:
Gender:F
Credentials:RN092729
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5134 OLD NATIONAL HWY
Mailing Address - Street 2:SUITE I
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3286
Mailing Address - Country:US
Mailing Address - Phone:404-835-3215
Mailing Address - Fax:404-835-3217
Practice Address - Street 1:5134 OLD NATIONAL HWY
Practice Address - Street 2:SUITE I
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-3286
Practice Address - Country:US
Practice Address - Phone:404-835-3215
Practice Address - Fax:404-835-3217
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN092729163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse