Provider Demographics
NPI:1356352470
Name:LITTLE, KAREN A (NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:LITTLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:151 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3340
Mailing Address - Country:US
Mailing Address - Phone:617-256-3872
Mailing Address - Fax:
Practice Address - Street 1:10 CENTENNIAL DR
Practice Address - Street 2:EAST ENTRANCE
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-7900
Practice Address - Country:US
Practice Address - Phone:978-826-7230
Practice Address - Fax:978-826-7237
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA251924363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP4241OtherBLUECROSS/BLUESHIELD
MD0486537OtherAETNA/US HEALTHCARE
MA071164OtherTUFTS
MA7619618001OtherCIGNA
MA274394OtherHARVARD PILGRIM
MAP94761Medicare UPIN
MANP4241OtherBLUECROSS/BLUESHIELD