Healthcare Provider Details

I. General information

NPI: 1427068592
Provider Name (Legal Business Name): KARIN S. ABDERHALDEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 NORTH MAIN STREET NORTHAMPTON VA MEDICAL CENTER
LEEDS MA
01053-9764
US

IV. Provider business mailing address

PO BOX 984
WILLIAMSBURG MA
01096-0984
US

V. Phone/Fax

Practice location:
  • Phone: 413-582-3082
  • Fax: 413-582-3185
Mailing address:
  • Phone: 413-628-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number127582
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: