Basic Information
Provider Information
NPI: 1982942967
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIMEONE
FirstName: KAREN
MiddleName: LOUISE
NamePrefix: MRS.
NameSuffix:  
Credential: MSN, RN, ACSN-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 HOSPITAL DR
Address2:  
City: LEWISBURG
State: PA
PostalCode: 178379350
CountryCode: US
TelephoneNumber: 5705222000
FaxNumber: 5705224410
Practice Location
Address1: 1 HOSPITAL DR
Address2:  
City: LEWISBURG
State: PA
PostalCode: 178379350
CountryCode: US
TelephoneNumber: 5705222000
FaxNumber: 5705224410
Other Information
ProviderEnumerationDate: 01/25/2013
LastUpdateDate: 01/25/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SA2200XCNS000149PAY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health

No ID Information.


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