Healthcare Provider Details

I. General information

NPI: 1972710473
Provider Name (Legal Business Name): KAREN HAWTHORNE MSN, APRN BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDREN'S HOSPITAL BOSTON 300 LONGWOOD AVE
BOSTON MA
02115
US

IV. Provider business mailing address

15 ALBRO ST
FOXBORO MA
02035-2203
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-5546
  • Fax: 617-730-0201
Mailing address:
  • Phone: 508-698-2684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number168591
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: