| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KAREN ENNIS | 1952156556 | 2024-08-11 |
Karen Ennis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952156556. Registration indicates Karen Ennis is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Karen Ennis APRN |
| Practice Office Address | 528 WHEELERS FARMS RD MILFORD, CT US |
| Practice Office Telephone | 2038770300 |
| Mailing Address | 5 PARK RD HAMDEN, CT 06517 US |
| Business Telephone | 2035070987 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 13302
CT |
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 162109
CT |