Healthcare Provider Details

I. General information

NPI: 1407771975
Provider Name (Legal Business Name): KAREN KARTTUNEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 WABASH RD
LANSING MI
48910-4898
US

IV. Provider business mailing address

26123 ANDERSON RD
ALBION MI
49224-9543
US

V. Phone/Fax

Practice location:
  • Phone: 517-883-7000
  • Fax: 517-883-7039
Mailing address:
  • Phone: 517-303-5023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number4703095352
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: