Provider Demographics
NPI:1962274472
Name:CRITES, KAREN SUE
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:CRITES
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 1:650 CRAIG ST APT 206
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:WV
Mailing Address - Zip Code:26452-9421
Mailing Address - Country:US
Mailing Address - Phone:304-517-9831
Mailing Address - Fax:
Practice Address - Street 1:650 CRAIG ST APT 206
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WV
Practice Address - Zip Code:26452-9421
Practice Address - Country:US
Practice Address - Phone:304-517-9831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant