Healthcare Provider Details

I. General information

NPI: 1235189127
Provider Name (Legal Business Name): KAREN MARIE PLYMPTON A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 08/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 SECRETARY TRL
PALM COAST FL
32164-4416
US

IV. Provider business mailing address

26 SECRETARY TRL
PALM COAST FL
32164-4416
US

V. Phone/Fax

Practice location:
  • Phone: 757-477-3351
  • Fax: 386-313-1737
Mailing address:
  • Phone: 757-477-3351
  • Fax: 386-313-1737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9231576
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: