Provider Demographics
NPI:1124351507
Name:PARIS, KAREN L (LPN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:L
Last Name:PARIS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 WASSON ST
Mailing Address - Street 2:
Mailing Address - City:WITHERBEE
Mailing Address - State:NY
Mailing Address - Zip Code:12998-1649
Mailing Address - Country:US
Mailing Address - Phone:518-942-7869
Mailing Address - Fax:
Practice Address - Street 1:86 WASSON ST
Practice Address - Street 2:
Practice Address - City:WITHERBEE
Practice Address - State:NY
Practice Address - Zip Code:12998-1649
Practice Address - Country:US
Practice Address - Phone:518-942-7869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238013-I164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse