Doctor Name: | KAREN CANAVAN |
NPI Number: | 1528436110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NNP-BC |
License Number: | 377462 |
Business Practice Address: | 57 Foxwood Sq N Old Tappan, NJ - 076757359 |
Business Phone Number: | 2017676012 |
Business Fax Number: | 2015962701 |
Mailing Address: | 57 Foxwood Sq N, OLD TAPPAN |
State: | NJ |
Postal Code: | 076757359 |
Phone Number: | 2017676012 |
Fax Number: | 2015962701 |
NPI Enumeration Date: | 09/13/2015 |
NPI Last Update Date: | 09/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP1700X |
License Number: | 377462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Perinatal |
Taxonomy Definition: |