Healthcare Provider Details

I. General information

NPI: 1396367595
Provider Name (Legal Business Name): KARA LE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 QUEEN ST STE 13
WORCESTER MA
01610-2478
US

IV. Provider business mailing address

1 DONALD'S WAY STE 102
E BRIDGEWATER MA
02333-1464
US

V. Phone/Fax

Practice location:
  • Phone: 508-860-7700
  • Fax:
Mailing address:
  • Phone: 508-941-7100
  • Fax: 508-894-0412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2328959
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: