Healthcare Provider Details

I. General information

NPI: 1063522381
Provider Name (Legal Business Name): KAREN A CHESLEY RNCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W CUMMINGS PARK STE 4500
WOBURN MA
01801-6617
US

IV. Provider business mailing address

500 W CUMMINGS PARK STE 4500
WOBURN MA
01801-6617
US

V. Phone/Fax

Practice location:
  • Phone: 781-224-3606
  • Fax: 339-999-2182
Mailing address:
  • Phone: 781-224-3606
  • Fax: 339-999-2182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number129743
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: