Basic Information
| Provider Information | |||||||||
| NPI: | 1174613376 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TOWER | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | SUE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | C.R.N.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 242 ANNALISA PL | ||||||||
| Address2: | |||||||||
| City: | MERRITT ISLAND | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329537901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3214539672 | ||||||||
| FaxNumber: | 3215044430 | ||||||||
| Practice Location | |||||||||
| Address1: | 1974 US HIGHWAY 1 | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | ROCKLEDGE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329553723 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3215044440 | ||||||||
| FaxNumber: | 3215044430 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | ARNP9187935 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 367500000X | 28144850A | IN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.