Provider Demographics
NPI:1447833082
Name:NAVA, KAREN SUE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:NAVA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16118
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92176-6118
Mailing Address - Country:US
Mailing Address - Phone:619-817-2555
Mailing Address - Fax:
Practice Address - Street 1:3316 ADAMS AVE APT 26
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-1809
Practice Address - Country:US
Practice Address - Phone:161-881-7255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA602150163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN602150OtherCALIFORNIA STATE BOARD OF NURSING