Provider Demographics
NPI:1013702794
Name:GASPARD, NIDLEY
Entity type:Individual
Prefix:MS
First Name:NIDLEY
Middle Name:
Last Name:GASPARD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 VAN BRUNT ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02136-3321
Mailing Address - Country:US
Mailing Address - Phone:917-470-1966
Mailing Address - Fax:
Practice Address - Street 1:50 VAN BRUNT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02136-3321
Practice Address - Country:US
Practice Address - Phone:917-470-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula