Provider Demographics
NPI:1902321870
Name:GARTNER, KAREN (LM, CPM, RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:GARTNER
Suffix:
Gender:F
Credentials:LM, CPM, RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 MONTROSE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-6065
Mailing Address - Country:US
Mailing Address - Phone:704-980-8973
Mailing Address - Fax:
Practice Address - Street 1:904 MONTROSE DR
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-6065
Practice Address - Country:US
Practice Address - Phone:704-980-8973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207523163W00000X, 163WL0100X
SCLMW-0121176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant