Provider Demographics
NPI:1780895672
Name:NASH, ADRIENNE L (APRN)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:L
Last Name:NASH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 GROTON RD STE 230
Mailing Address - Street 2:
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1189
Mailing Address - Country:US
Mailing Address - Phone:978-756-5054
Mailing Address - Fax:978-796-5460
Practice Address - Street 1:190 GROTON RD STE 230
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1189
Practice Address - Country:US
Practice Address - Phone:978-756-5054
Practice Address - Fax:978-796-5460
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT003011363LP0808X
MARN217572363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health