Healthcare Provider Details
I. General information
NPI: 1972988244
Provider Name (Legal Business Name): KAREN L PANUNTO EDD, MSN, RN, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/28/2015
Last Update Date: 07/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
118 SANDHILL DRIVE SUITE 201 DELAWARE SLEEP DISORDER CENTERS
MIDDLETOWN DE
19709-5806
US
IV. Provider business mailing address
252 CARTER DRIVE SUITE 200 DELAWARE SLEEP DISORDER CENTER
MIDDLETOWN DE
19709
US
V. Phone/Fax
- Phone: 877-335-7533
- Fax: 877-575-3337
- Phone: 302-449-7484
- Fax: 302-376-8524
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364S00000X |
| Taxonomy | Clinical Nurse Specialist |
| License Number | LI-0000102 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SC1501X |
| Taxonomy | Community Health/Public Health Clinical Nurse Specialist |
| License Number | LI-0000102 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: