Provider Demographics
NPI:1578073128
Name:CARREIRO, KAREN (FNP-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CARREIRO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 DAVOL ST STE 3
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-1028
Mailing Address - Country:US
Mailing Address - Phone:508-674-4000
Mailing Address - Fax:508-674-8880
Practice Address - Street 1:775 DAVOL ST STE 3
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-1028
Practice Address - Country:US
Practice Address - Phone:508-674-4000
Practice Address - Fax:508-674-8880
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN01710363LF0000X
MARN285354207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily