Provider Demographics
NPI:1386951820
Name:NESBIT, KARRIE SUZANNE (CD(DONA))
Entity type:Individual
Prefix:
First Name:KARRIE
Middle Name:SUZANNE
Last Name:NESBIT
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20629 HARTFORD WAY
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-4440
Mailing Address - Country:US
Mailing Address - Phone:952-451-3652
Mailing Address - Fax:
Practice Address - Street 1:20629 HARTFORD WAY
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-4440
Practice Address - Country:US
Practice Address - Phone:952-451-3652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula