Healthcare Provider Details

I. General information

NPI: 1376589713
Provider Name (Legal Business Name): KAREN G. ANDERSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN A. GARDNER APRN

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 LYMAN ST SUITE 19
WESTBOROUGH MA
01581-2628
US

IV. Provider business mailing address

56A WARREN ST
WESTBOROUGH MA
01581-2205
US

V. Phone/Fax

Practice location:
  • Phone: 508-366-2271
  • Fax: 508-366-5948
Mailing address:
  • Phone: 508-366-2271
  • Fax: 508-366-5948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number177047
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number177047
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: