Individual
MS. KAREN ELIZABETH WIBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 BROOKLINE AVE, SHAPIRO 6, BOSTON, MA 02215-5400
(617) 667-2481
(617) 667-8665
Mailing address
330 BROOKLINE AVE, HCA SHAPIRO 6, BOSTON, MA 02215-5400
(616) 667-2481
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
164901
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN164901
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704237
—
MA
Enumeration date
05/26/2006
Last updated
01/06/2023
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