Individual provider · Type 1 NPI

Karen Smith Wong, CPNP

Pediatric Nurse Practitioner · Washington, DC

NPI number 1104197375 Active

Practice location

111 Michigan Ave NW, Children's Health Center
Washington, DC 20010-2916

Mailing address

805 N Howard St, Apt. 231
Alexandria, VA 22304-5466

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN1019847 (DC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104197375

Karen Smith Wong, CPNP's National Provider Identifier is 1104197375, issued on Jan 20, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Washington, DC. The record was last updated on Jan 20, 2012.