Provider Demographics
NPI:1306960620
Name:LEWIS, KAREN SUE (MSN, RN, ARNP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MSN, RN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 BUCK RUN DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-7937
Mailing Address - Country:US
Mailing Address - Phone:919-580-9937
Mailing Address - Fax:
Practice Address - Street 1:214 BUCK RUN DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-7937
Practice Address - Country:US
Practice Address - Phone:919-580-9937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC300063363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics