Provider Demographics
NPI:1891183307
Name:WAISNOR, KAREN A (CNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:WAISNOR
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:185 PILGRIM RD
Mailing Address - Street 2:BAKER 304
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5324
Mailing Address - Country:US
Mailing Address - Phone:617-632-7270
Mailing Address - Fax:617-632-8224
Practice Address - Street 1:185 PILGRIM RD
Practice Address - Street 2:BAKER 304
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5324
Practice Address - Country:US
Practice Address - Phone:617-632-7270
Practice Address - Fax:617-632-8224
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2016-06-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MARN214479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily