MEDICARE: KAREN DORR RN

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	0001233266	VA

General Provider Information

NPI Number	:	1396545612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN DORR RN

Provider Business Mailing Address
First Line	:	736 OLD HOLLOW RD
Second Line	:
City	:	SPERRYVILLE
State	:	VA
Zip	:	22740-2064
Country	:	US
Telephone Number	:	865-207-6526
Fax Number	:	865-207-6526

Provider Business Practice Location Address
First Line	:	736 OLD HOLLOW RD
Second Line	:
City	:	SPERRYVILLE
State	:	VA
Zip	:	22740-2064
Country	:	US
Telephone Number	:	865-207-6526
Fax Number	:	865-207-6526

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

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	03/17/2025

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