Karen Sellers Myers, LPN CCRC
Individual provider Active NPI Licensed Practical Nurse · Fort Detrick, MD
NPI 1114110871 · NPPES record last updated Aug 24, 2007
Key facts
- NPI
- 1114110871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN152632L (PA)
- Practice address
- 1425 Porter St
Fort Detrick, MD 21702-9211 - Phone
- (301) 619-0328
- NPI assigned
- Aug 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN152632L | PA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN152632L | PA | Yes |
Addresses
Primary practice location
1425 Porter St
Fort Detrick, MD 21702-9211
Mailing address
11743 Melrose Ave
Greencastle, PA 17225-8416
Other providers in Fort Detrick, MD
- Bill Kirk Mayhew
- Mitchell Scott Meyers
- Leann Marie Micheals
- Joseph Morrissette
- Tawana Motes
- Jerome F Pierson
- Geraldine Clare Powers
- Paula Myoshi Pullen
- Manmohan Vishwanath Ranadive
- Thomas Robinson
All providers in Fort Detrick, MD · Licensed Practical Nurse in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.