Healthcare Provider Details

I. General information

NPI: 1881675528
Provider Name (Legal Business Name): KAREN MANEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CLEARWATER DR
HARWICH MA
02645-2901
US

IV. Provider business mailing address

PO BOX 87
WEST HARWICH MA
02671-0087
US

V. Phone/Fax

Practice location:
  • Phone: 774-237-9116
  • Fax: 978-354-4651
Mailing address:
  • Phone: 774-237-9116
  • Fax: 774-237-3411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number176671
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: