Provider Demographics
NPI:1003253956
Name:PAPP, NANCY ELLEN
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ELLEN
Last Name:PAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 NORTHGATE CT
Mailing Address - Street 2:
Mailing Address - City:NORTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536-1589
Mailing Address - Country:US
Mailing Address - Phone:774-287-4850
Mailing Address - Fax:
Practice Address - Street 1:12 NORTHGATE CT
Practice Address - Street 2:
Practice Address - City:NORTH GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01536-1589
Practice Address - Country:US
Practice Address - Phone:774-287-4850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-02
Last Update Date:2013-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2846235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist