Provider Demographics
NPI:1194775023
Name:BLAIR, KAREN BETH (RN, MS, CNS, CRRN)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:BETH
Last Name:BLAIR
Suffix:
Gender:F
Credentials:RN, MS, CNS, CRRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3801 MIRANDA AVE
Mailing Address - Street 2:BUILDING 7
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1207
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-849-0131
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:BUILDING 7
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-849-0131
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 418454163WR0400X
CACNS 2091364SR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
Not Answered364SR0400XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CRRN 00009113OtherREHAB RN CERTIFICATION
CARN 418454OtherRN LICENSE
CACNS 2091OtherCNS CERTIFICATION