Greenhaw, Karen Alexandra

Greenhaw, Karen Alexandra is an sole proprietor health care provider with primary practice located at 11400 Pleasant Valley Rd , Penn Valley CA 95946-9001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family Health is her primary health care specialty. Greenhaw, Karen Alexandra can be contacted via phone (530) 432-7023.

Contact Information

Primary practice address
11400 Pleasant Valley Rd Penn Valley CA 95946-9001
Phone: (530) 432-7023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 19916 California
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 19916 California

Profile Details

NPI number 1649548686
LBN Legal business name Greenhaw, Karen Alexandra
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2011
Last updated Feb 26th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649548686 NPPES
California MEDICAID CA121918

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