Provider Demographics
NPI:1417056581
Name:FLAHERTY, KAREN ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 TYLER ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2951
Mailing Address - Country:US
Mailing Address - Phone:603-577-3100
Mailing Address - Fax:603-577-3105
Practice Address - Street 1:19 TYLER ST
Practice Address - Street 2:SUITE 103
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2951
Practice Address - Country:US
Practice Address - Phone:603-577-3100
Practice Address - Fax:603-577-3105
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH044359-23-04363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30340495Medicaid
S86962Medicare UPIN
NHNP1958Medicare ID - Type Unspecified