Provider Demographics
NPI:1063522381
Name:CHESLEY, KAREN A (RNCS)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:CHESLEY
Suffix:
Gender:F
Credentials:RNCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 W CUMMINGS PARK STE 4500
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6617
Mailing Address - Country:US
Mailing Address - Phone:781-224-3606
Mailing Address - Fax:339-999-2182
Practice Address - Street 1:500 W CUMMINGS PARK STE 4500
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6617
Practice Address - Country:US
Practice Address - Phone:781-224-3606
Practice Address - Fax:339-999-2182
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA129743364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA403741OtherTUFTS
MA043413758OtherHEALTHCAREVALUEMGT
MA04341375803OtherPACIFICARE
MA1019540OtherNEIGHBORHOOD
MD195794000OtherMBCMAGELLAN
MA2025579OtherCIGNA
MA043413758OtherHALLMARKHEALTH
MD98860902OtherNETWORK
MAPN0610OtherBLUECROSSBLUESHIELD