Provider Demographics
NPI:1811131279
Name:ANGELOPOULOS, KAREN ROBERTA (R N)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ROBERTA
Last Name:ANGELOPOULOS
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16121 W CHRISTY DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-4653
Mailing Address - Country:US
Mailing Address - Phone:623-584-9593
Mailing Address - Fax:
Practice Address - Street 1:16121 W CHRISTY DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-4653
Practice Address - Country:US
Practice Address - Phone:623-584-9593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN138746163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool