Doctor Name: | MRS. KAREN LEE TART |
NPI Number: | 1144577594 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, IBCLC |
License Number: | 195612 |
Business Practice Address: | 6120 Meadowbrook Rd Benson, NC - 275048224 |
Business Phone Number: | 9192070804 |
Business Fax Number: | |
Mailing Address: | 6120 Meadowbrook Rd, BENSON |
State: | NC |
Postal Code: | 275048224 |
Phone Number: | 9192070804 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2012 |
NPI Last Update Date: | 08/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 195612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |