Healthcare Provider Details

I. General information

NPI: 1669575965
Provider Name (Legal Business Name): KAREN VASINDA-HOULE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 03/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SIXTH AND SPRUCE STREETS
READING PA
19612-6052
US

IV. Provider business mailing address

PO BOX 13579
READING PA
19612-3579
US

V. Phone/Fax

Practice location:
  • Phone: 610-988-5089
  • Fax: 610-988-5135
Mailing address:
  • Phone: 484-628-0799
  • Fax: 474-628-0799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN200204L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: