Healthcare Provider Details

I. General information

NPI: 1205904224
Provider Name (Legal Business Name): KAREN A BARNA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RIVER VALLEY SERVICES DUTTON HOME SILVER ST
MIDDLETOWN CT
06457
US

IV. Provider business mailing address

PO BOX 351 SILVER ST DUTTON HOME RIVER VALLEY SERVICES
MIDDLETOWN CT
06457
US

V. Phone/Fax

Practice location:
  • Phone: 860-262-5358
  • Fax: 860-262-5356
Mailing address:
  • Phone: 860-262-5358
  • Fax: 860-262-5356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberAPRN 001777
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: