| Doctor Name: | KAREN RENEE MANSON |
| NPI Number: | 1053442665 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN357409 |
| Business Practice Address: | 1305 W Arrow Hwy Ste 106 San Dimas, CA - 917732337 |
| Business Phone Number: | 9095929246 |
| Business Fax Number: | 9095929248 |
| Mailing Address: | 1305 W Arrow Hwy Ste 106, SAN DIMAS |
| State: | CA |
| Postal Code: | 917732337 |
| Phone Number: | 9095929246 |
| Fax Number: | 9095929248 |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN357409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |