National Provider Identifier
Karen M Dettelis, LPN
Karen M Dettelis, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Delevan, NY and a listed phone number of (716) 353-1087.
Profile Overview
- NPI
- 1811218340
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 18, 2010
- Last Updated
- June 18, 2010
Practice Location
- 23 Smith Ave
- Delevan, NY 14042-9661
Phone: (716) 353-1087
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1811218340
- Entity Type
- Individual
- Last Name
- Dettelis
- First Name
- Karen
- Middle Name
- M
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 23 Smith Ave
- Mailing City
- Delevan
- Mailing State
- NY
- Mailing ZIP Code
- 14042-9661
- Mailing Country
- US
- Mailing Phone
- (716) 353-1087
- Practice Street Address
- 23 Smith Ave
- Practice City
- Delevan
- Practice State
- NY
- Practice ZIP Code
- 14042-9661
- Practice Country
- US
- Practice Phone
- (716) 353-1087
- Enumeration Date
- June 18, 2010
- Last Updated
- June 18, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)