MEDICARE: KAREN LYNN HOPKINS

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
1	163W00000X	Registered Nurse	0001082291	VA

General Provider Information

NPI Number	:	1205139078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN LYNN HOPKINS

Provider Business Mailing Address
First Line	:	1217 CAPTAIN ADAMS CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-4901
Country	:	US
Telephone Number	:	757-464-1235
Fax Number	:

Provider Business Practice Location Address
First Line	:	1217 CAPTAIN ADAMS CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-4901
Country	:	US
Telephone Number	:	757-464-1235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2010
Last Update Date	:	12/16/2010

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