Provider Demographics
NPI:1093490856
Name:AMESIMEKU, DAYLIN B (PA-C)
Entity Type:Individual
Prefix:
First Name:DAYLIN
Middle Name:B
Last Name:AMESIMEKU
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:DAYLIN
Other - Middle Name:BEATRIZ
Other - Last Name:FARIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:171 MAIN ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1187
Mailing Address - Country:US
Mailing Address - Phone:508-881-3029
Mailing Address - Fax:508-881-1752
Practice Address - Street 1:24 LYMAN ST STE 280
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1484
Practice Address - Country:US
Practice Address - Phone:774-399-9100
Practice Address - Fax:774-399-9101
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-20
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant