Healthcare Provider Details

I. General information

NPI: 1396545612
Provider Name (Legal Business Name): KAREN DORR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 OLD HOLLOW RD
SPERRYVILLE VA
22740-2064
US

IV. Provider business mailing address

736 OLD HOLLOW RD
SPERRYVILLE VA
22740-2064
US

V. Phone/Fax

Practice location:
  • Phone: 865-207-6526
  • Fax: 865-207-6526
Mailing address:
  • Phone: 865-207-6526
  • Fax: 865-207-6526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number0001233266
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: