Provider Demographics
NPI:1356020903
Name:PEREZ, KARA J (RN, WHE)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:J
Last Name:PEREZ
Suffix:
Gender:F
Credentials:RN, WHE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 RACHEL DR
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-6323
Mailing Address - Country:US
Mailing Address - Phone:920-770-8919
Mailing Address - Fax:
Practice Address - Street 1:2125 RACHEL DR
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54311-6323
Practice Address - Country:US
Practice Address - Phone:920-770-8919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator