Provider Demographics
NPI:1871735688
Name:MIHALIK, KAREN (RN)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:MIHALIK
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 1:13980 GRANNYS KNOB RD
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:43762-9241
Mailing Address - Country:US
Mailing Address - Phone:740-432-4787
Mailing Address - Fax:
Practice Address - Street 1:13980 GRANNYS KNOB RD
Practice Address - Street 2:
Practice Address - City:NEW CONCORD
Practice Address - State:OH
Practice Address - Zip Code:43762-9241
Practice Address - Country:US
Practice Address - Phone:740-432-4787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN325803163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse