Provider Demographics
NPI:1174394274
Name:ISAK, KAREN (RN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:ISAK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9006 MORGANFIELD PL
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-3608
Mailing Address - Country:US
Mailing Address - Phone:916-202-6761
Mailing Address - Fax:
Practice Address - Street 1:20 RIVER PARK PL W FRESNO CA 93720
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93724-0001
Practice Address - Country:US
Practice Address - Phone:916-202-6761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95134941163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine