1972988244 NPI number — KAREN L PANUNTO EDD, MSN, RN, APN

Table of content: KAREN L PANUNTO EDD, MSN, RN, APN (NPI 1972988244)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972988244 NPI number — KAREN L PANUNTO EDD, MSN, RN, APN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PANUNTO
Provider First Name:
KAREN
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
EDD, MSN, RN, APN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LYNCH
Provider Other First Name:
KAREN
Provider Other Middle Name:
ELEANOR
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972988244
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
252 CARTER DRIVE
Provider Second Line Business Mailing Address:
SUITE 200 DELAWARE SLEEP DISORDER CENTER
Provider Business Mailing Address City Name:
MIDDLETOWN
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-449-7484
Provider Business Mailing Address Fax Number:
302-376-8524

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
118 SANDHILL DRIVE
Provider Second Line Business Practice Location Address:
SUITE 201 DELAWARE SLEEP DISORDER CENTERS
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19709-5806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-335-7533
Provider Business Practice Location Address Fax Number:
877-575-3337
Provider Enumeration Date:
07/28/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 364S00000X , with the licence number:  LI-0000102 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 364SC1501X , with the licence number: LI-0000102 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com