Healthcare Provider Details

I. General information

NPI: 1235045501
Provider Name (Legal Business Name): LAURA CARANFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 TIMPANY BLVD
GARDNER MA
01440-3451
US

IV. Provider business mailing address

147 CRAIGIN ST
ATHOL MA
01331-3203
US

V. Phone/Fax

Practice location:
  • Phone: 978-878-8100
  • Fax:
Mailing address:
  • Phone: 978-413-1399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLN96440
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: