Healthcare Provider Details

I. General information

NPI: 1639742190
Provider Name (Legal Business Name): KAREN LORRAINE NEMEJC APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 03/07/2024
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 36TH ST STE C
VERO BEACH FL
32960-4875
US

IV. Provider business mailing address

1485 37TH ST STE 102
VERO BEACH FL
32960-6518
US

V. Phone/Fax

Practice location:
  • Phone: 772-217-4422
  • Fax: 772-217-4460
Mailing address:
  • Phone: 352-799-0046
  • Fax: 352-799-0042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number996730
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11024721
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: