Healthcare Provider Details

I. General information

NPI: 1902321870
Provider Name (Legal Business Name): KAREN GARTNER LM, CPM, RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2017
Last Update Date: 01/31/2024
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 MONTROSE DR
SHELBY NC
28150-6065
US

IV. Provider business mailing address

904 MONTROSE DR
SHELBY NC
28150-6065
US

V. Phone/Fax

Practice location:
  • Phone: 704-980-8973
  • Fax:
Mailing address:
  • Phone: 704-980-8973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number207523
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number207523
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLMW-0121
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: