Provider Demographics
NPI:1295765899
Name:CADWALADER, KAREN L (APRN, CNS)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:CADWALADER
Suffix:
Gender:F
Credentials:APRN, CNS
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:OCONNOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, CNS
Mailing Address - Street 1:151 ROCK ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720
Mailing Address - Country:US
Mailing Address - Phone:508-678-7542
Mailing Address - Fax:508-676-3699
Practice Address - Street 1:87 KAY ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2843
Practice Address - Country:US
Practice Address - Phone:508-380-6616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235700364SP0808X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health