Provider Demographics
NPI:1316281611
Name:SMILEY, KAREN M (RN)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:SMILEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18650 42ND AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-5012
Mailing Address - Country:US
Mailing Address - Phone:206-631-5710
Mailing Address - Fax:206-631-5770
Practice Address - Street 1:18650 42ND AVE S
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-5012
Practice Address - Country:US
Practice Address - Phone:206-631-5710
Practice Address - Fax:206-631-5770
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00122431163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse