MEDICARE: KAREN CARTER HARPER 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	163WH1000X	Hospice Registered Nurse	1054477	AL

General Provider Information

NPI Number	:	1679131783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN CARTER HARPER RN

Provider Business Mailing Address
First Line	:	3539 MARY TAYLOR RD APT 1300B
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3285
Country	:	US
Telephone Number	:	205-515-8329
Fax Number	:

Provider Business Practice Location Address
First Line	:	2970 LORNA RD
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-4506
Country	:	US
Telephone Number	:	205-824-2681
Fax Number	:

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

Provider Enumeration Date	:	06/04/2019
Last Update Date	:	06/04/2019

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