Provider Demographics
NPI:1679819510
Name:TANURY, KARI ANN (LPN)
Entity type:Individual
Prefix:MS
First Name:KARI
Middle Name:ANN
Last Name:TANURY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 HALLOCK RD APT 1A1
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-1405
Mailing Address - Country:US
Mailing Address - Phone:315-235-9780
Mailing Address - Fax:
Practice Address - Street 1:184 HALLOCK RD APT 1A1
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-1405
Practice Address - Country:US
Practice Address - Phone:315-235-9780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295241-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse