Provider Demographics
NPI:1871556720
Name:KNIPPER, KAREN ANNE (BSN, RN, C)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANNE
Last Name:KNIPPER
Suffix:
Gender:F
Credentials:BSN, RN, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N4380 LAKEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:HUSTISFORD
Mailing Address - State:WI
Mailing Address - Zip Code:53034-9715
Mailing Address - Country:US
Mailing Address - Phone:920-349-9907
Mailing Address - Fax:
Practice Address - Street 1:N4380 LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:HUSTISFORD
Practice Address - State:WI
Practice Address - Zip Code:53034-9715
Practice Address - Country:US
Practice Address - Phone:920-349-9907
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38250800OtherBILLING PROVIDER NUMBER