Healthcare Provider Details

I. General information

NPI: 1457485781
Provider Name (Legal Business Name): KAREN SCHAFER MEYER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E 28TH ST STE 40
MINNEAPOLIS MN
55407-1139
US

IV. Provider business mailing address

3129 43RD AVE S
MINNEAPOLIS MN
55406-2248
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-2855
  • Fax: 612-863-2490
Mailing address:
  • Phone: 612-724-8853
  • Fax: 612-863-2490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR 109279-0
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: