Provider Demographics
NPI:1023895992
Name:KARINA MICHELE PERMANENT COSMETICS
Entity type:Organization
Organization Name:KARINA MICHELE PERMANENT COSMETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIGRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-303-8165
Mailing Address - Street 1:2113 COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1926
Mailing Address - Country:US
Mailing Address - Phone:757-303-8165
Mailing Address - Fax:
Practice Address - Street 1:2113 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1926
Practice Address - Country:US
Practice Address - Phone:757-303-8165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Multi-Specialty