Provider Demographics
NPI:1245375583
Name:MALONEY, KAREN ANNE (RN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNE
Last Name:MALONEY
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 1:2299 VANDERGRIFF HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:DOWELLTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37059-1883
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 W MAIN ST STE 200
Practice Address - Street 2:TN DEPT OF HEALTH
Practice Address - City:WOODBURY
Practice Address - State:TN
Practice Address - Zip Code:37190-1100
Practice Address - Country:US
Practice Address - Phone:615-563-4243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101043163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse