=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790636967
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KAREN G ANDERSON, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2026
-----------------------------------------------------
Last Update Date | 02/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 45 LYMAN ST STE 19
-----------------------------------------------------
City | WESTBOROUGH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01581-2658
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-366-2271
-----------------------------------------------------
Fax | 508-366-5948
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 45 LYMAN ST STE 19
-----------------------------------------------------
City | WESTBOROUGH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01581-2658
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-366-2271
-----------------------------------------------------
Fax | 508-366-5948
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCH CLINICAL NURSE SPECIALIST
-----------------------------------------------------
Name | MS. KAREN G ANDERSON
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 508-259-3060
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 364SP0809X
-----------------------------------------------------
Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------