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NPI Code Detail

MEDICARE: MS. KAREN MARIE STAGNARO R.N

MEDICARE:  MS. KAREN MARIE STAGNARO  R.N
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0400XCase Management Registered Nurse264580-3102UT

General Provider Information

NPI Number : 1124457312
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN MARIE STAGNARO R.N
Provider Business Mailing Address
First Line : 3730 WEST, 4700 SOUTH
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84129
Country : US
Telephone Number : 801-213-9289
Fax Number :
Provider Business Practice Location Address
First Line : 3730 W 4700 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84129-3457
Country : US
Telephone Number : 801-213-9289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2013
Last Update Date : 11/07/2013

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Directions to “ MS. KAREN MARIE STAGNARO R.N” Practice Location

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