Healthcare Provider Details

I. General information

NPI: 1235383001
Provider Name (Legal Business Name): KAREN DENISE SCHELL LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2008
Last Update Date: 11/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE
MIAMI FL
33155-3009
US

IV. Provider business mailing address

3100 SW 62ND AVE
MIAMI FL
33155-3009
US

V. Phone/Fax

Practice location:
  • Phone: 786-624-5784
  • Fax: 786-624-5790
Mailing address:
  • Phone: 786-624-5784
  • Fax: 786-624-5790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN5144695
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: