Healthcare Provider Details

I. General information

NPI: 1528137486
Provider Name (Legal Business Name): KAREN ANN NARACON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 E SANILAC RD SUITE 1
SANDUSKY MI
48471-1383
US

IV. Provider business mailing address

2323 E SANILAC RD
CARSONVILLE MI
48419-8947
US

V. Phone/Fax

Practice location:
  • Phone: 810-648-4450
  • Fax: 810-648-5833
Mailing address:
  • Phone: 810-657-9771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number4704109247
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: