Provider Demographics
NPI:1831336486
Name:MOYER, KAREN LYNN (RN, CNOR, RNFA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:MOYER
Suffix:
Gender:F
Credentials:RN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MARMORA
Mailing Address - State:NJ
Mailing Address - Zip Code:08223-1332
Mailing Address - Country:US
Mailing Address - Phone:609-390-8233
Mailing Address - Fax:
Practice Address - Street 1:201 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:MARMORA
Practice Address - State:NJ
Practice Address - Zip Code:08223-1332
Practice Address - Country:US
Practice Address - Phone:609-390-8233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-17
Last Update Date:2009-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11974200163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant