Doctor Name: | MS. ASHLEY GARNEAU |
NPI Number: | 1003248600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP-PC |
License Number: | RN2270212 |
Business Practice Address: | 29 Massachusetts Ave Arlington, MA - 024748602 |
Business Phone Number: | 7816434507 |
Business Fax Number: | 7816466151 |
Mailing Address: | Po Box 760, WINCHESTER |
State: | MA |
Postal Code: | 018904260 |
Phone Number: | 7817567273 |
Fax Number: | 7817210725 |
NPI Enumeration Date: | 08/06/2013 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN2270212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |