Provider Demographics
NPI:1912275710
Name:KRAMER, KAREN (RN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:WAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2001 E ORANGETHORPE AVE STE D
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-6759
Mailing Address - Country:US
Mailing Address - Phone:714-524-5545
Mailing Address - Fax:714-524-5549
Practice Address - Street 1:2001 E ORANGETHORPE AVE STE D
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6759
Practice Address - Country:US
Practice Address - Phone:714-524-5545
Practice Address - Fax:714-524-5549
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA457265163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33-0150193OtherMEDI-CAL