Provider Demographics
NPI:1295084283
Name:SCOTT, KAREN LEE (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LEE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:18653 VENTURA BLVD
Mailing Address - Street 2:# 198
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4103
Mailing Address - Country:US
Mailing Address - Phone:818-370-5486
Mailing Address - Fax:
Practice Address - Street 1:10727 WHITE OAK AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-4631
Practice Address - Country:US
Practice Address - Phone:818-368-5007
Practice Address - Fax:818-368-5117
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA504882163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health