MEDICARE: MS. KAREN BRITAIN RN,CMC

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	RN073638	GA

General Provider Information

NPI Number	:	1962825711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN BRITAIN RN,CMC

Provider Business Mailing Address
First Line	:	1057 HESS DR
Second Line	:
City	:	AVONDALE ESTATES
State	:	GA
Zip	:	30002-1604
Country	:	US
Telephone Number	:	404-323-9081
Fax Number	:

Provider Business Practice Location Address
First Line	:	1057 HESS DR
Second Line	:
City	:	AVONDALE ESTATES
State	:	GA
Zip	:	30002-1604
Country	:	US
Telephone Number	:	404-323-9081
Fax Number	:

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

Provider Enumeration Date	:	01/30/2014
Last Update Date	:	01/30/2014

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