Provider Demographics
NPI:1093953051
Name:RIGHTMIRE, KARLA LYNN GARDINER
Entity type:Individual
Prefix:MS
First Name:KARLA
Middle Name:LYNN GARDINER
Last Name:RIGHTMIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 LOCKE RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:NY
Mailing Address - Zip Code:13073-5400
Mailing Address - Country:US
Mailing Address - Phone:607-216-7960
Mailing Address - Fax:607-558-1010
Practice Address - Street 1:92 LOCKE RD
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:NY
Practice Address - Zip Code:13073-5400
Practice Address - Country:US
Practice Address - Phone:607-216-7960
Practice Address - Fax:607-558-1010
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250495-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse