Healthcare Provider Details

I. General information

NPI: 1598725962
Provider Name (Legal Business Name): KAREN DYRLAND LITTLETON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN ALINE PLAVNIEKS NP

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HOLT AVE BOX 2727
WINTER PARK FL
32789-4499
US

IV. Provider business mailing address

3413 DEER OAK CIRCLE
OVIEDO FL
32766-8111
US

V. Phone/Fax

Practice location:
  • Phone: 407-646-2235
  • Fax: 407-646-2213
Mailing address:
  • Phone: 407-366-7707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License Number3413412
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: