Provider Demographics
NPI:1194092205
Name:TRUDEAU, KAREN ANN
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ANN
Last Name:TRUDEAU
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 1:15 FENG DR
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:NH
Mailing Address - Zip Code:03077-1766
Mailing Address - Country:US
Mailing Address - Phone:603-895-2696
Mailing Address - Fax:
Practice Address - Street 1:15 FENG DR
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:NH
Practice Address - Zip Code:03077-1766
Practice Address - Country:US
Practice Address - Phone:603-895-2696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula