Provider Demographics
NPI:1295887230
Name:NAY, KAREN L (NP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:L
Last Name:NAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:SHULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:194 CENTRAL ST
Mailing Address - Street 2:APT. 230
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-4306
Mailing Address - Country:US
Mailing Address - Phone:978-632-2181
Mailing Address - Fax:
Practice Address - Street 1:EVERCARE 950 WINTER ST
Practice Address - Street 2:SUITE 3800
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451
Practice Address - Country:US
Practice Address - Phone:781-472-6441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA124247363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology