Healthcare Provider Details

I. General information

NPI: 1386142057
Provider Name (Legal Business Name): KAREN MARIE BOYD CARDOZA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 12/14/2020
Certification Date: 12/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 COMMERCE DR
BEDFORD NH
03110-6946
US

IV. Provider business mailing address

8 COMMERCE DR
BEDFORD NH
03110
US

V. Phone/Fax

Practice location:
  • Phone: 603-668-3545
  • Fax: 603-421-0548
Mailing address:
  • Phone: 34-210-4146
  • Fax: 603-421-0548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number032699-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: