Provider Demographics
NPI:1861808453
Name:PAIVA, ASHLEY C (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:C
Last Name:PAIVA
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 MILL ROAD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5255
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:200 MILL ROAD
Practice Address - Street 2:SUITE 190
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-5255
Practice Address - Country:US
Practice Address - Phone:508-973-0857
Practice Address - Fax:508-973-2176
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2273558363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily