Provider Demographics
NPI:1841705159
Name:RHEA, KAREN SUE (RN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SUE
Last Name:RHEA
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 1:4004 NICOLE EILEEN LANE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216
Mailing Address - Country:US
Mailing Address - Phone:704-398-1206
Mailing Address - Fax:424-344-7606
Practice Address - Street 1:4004 NICOLE EILEEN LANE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:ND
Practice Address - Zip Code:28216
Practice Address - Country:US
Practice Address - Phone:877-888-8701
Practice Address - Fax:424-344-7606
Is Sole Proprietor?:No
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC155987163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health