National Provider Identifier

Karen Ann Wallenburg, LPN

Karen Ann Wallenburg, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Prattsburgh, NY and a listed phone number of (607) 522-7751.

NPI 1053502914Prattsburgh, NYLicensed Practical Nurse

Profile Overview

NPI
1053502914
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 06, 2007
Last Updated
August 06, 2007

Practice Location

  • 11675 Davis RD
  • Prattsburgh, NY 14873-9770

Phone: (607) 522-7751

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1053502914
Entity Type
Individual
Last Name
Wallenburg
First Name
Karen
Middle Name
Ann
Name Prefix
MS.
Credential
LPN
Mailing Street Address
11675 Davis RD
Mailing City
Prattsburgh
Mailing State
NY
Mailing ZIP Code
14873-9770
Mailing Country
US
Mailing Phone
(607) 522-7751
Practice Street Address
11675 Davis RD
Practice City
Prattsburgh
Practice State
NY
Practice ZIP Code
14873-9770
Practice Country
US
Practice Phone
(607) 522-7751
Enumeration Date
August 06, 2007
Last Updated
August 06, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02888613 (NY)