Ms. Carolynn Mathisen
NP | Nurse Practitioner
55 Lake Ave N, Icu, Worcester
Massachusetts, 01655-0002
508-334-1000
Ms. Carolynn Mathisen is a Worcester, Massachusetts based nurse practitioner. Active license number of Ms. Carolynn Mathisen is 115057 in Massachusetts. Her current practice location is 55 Lake Ave N, Icu, Worcester. Patients can reach her at 508-334-1000. Ms. Carolynn Mathisen is NP and her NPI number (Unique professional ID assigned by NPPES) is 1023020880.
Ms. Carolynn Mathisen has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Carolynn Mathisen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Carolynn Mathisen |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 55 Lake Ave N, Icu, Worcester,
Massachusetts, 01655-0002 |
| Phone: | 508-334-1000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1023020880 |
| NPI Enumeration Date: | 12 Aug, 2006 |
| NPI Last Update On: | 05 Mar, 2009 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Carolynn Mathisen are as mentioned below.
| License Number | Specialization | State | Status | |
| 115057 | | Massachusetts | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Carolynn Mathisen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0325261 | Medicaid | Massachusetts | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Carolynn Mathisen
Po Box 415348,
Boston, Massachusetts |
| Zip: | 02241-5348 |
Patients can reach Ms. Carolynn Mathisen at
55 Lake Ave N, Icu, Worcester, Massachusetts or can
call to book an appointment on 508-334-1000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.