Provider Demographics
NPI:1699372722
Name:FLORIA, KAREN ANN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:FLORIA
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 1:7615 KEENEY MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SANDSTONE
Mailing Address - State:WV
Mailing Address - Zip Code:25985-9715
Mailing Address - Country:US
Mailing Address - Phone:304-731-6041
Mailing Address - Fax:
Practice Address - Street 1:7615 KEENEY MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SANDSTONE
Practice Address - State:WV
Practice Address - Zip Code:25985-9715
Practice Address - Country:US
Practice Address - Phone:304-731-6041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant