# MS. KAREN LEE SCANLON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811198120
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704185608 | MI | Yes |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | 4704185608 | MI | — |
| 363LP2300X | Primary Care Nurse Practitioner | 4704185608 | MI | — |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 05/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0B51149 | BLUE SHIELD | MI |
| 05 | — | 4798030 | — | MI |
