Provider Demographics
NPI:1073309928
Name:WALIGURSKI, KAREN MARIE (BSN RN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:WALIGURSKI
Suffix:
Gender:
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 GROSS STREET
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-5598
Mailing Address - Country:US
Mailing Address - Phone:845-594-3413
Mailing Address - Fax:845-331-2477
Practice Address - Street 1:107 GROSS STREET
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-5598
Practice Address - Country:US
Practice Address - Phone:845-594-3413
Practice Address - Fax:845-331-2477
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY377619163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool