Provider Demographics
NPI:1245590272
Name:ADAMS, ALICEMARY ASPELL (RN)
Entity Type:Individual
Prefix:MS
First Name:ALICEMARY
Middle Name:ASPELL
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ALICEMARY
Other - Middle Name:
Other - Last Name:ASPELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7 MARION DR
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1224
Mailing Address - Country:US
Mailing Address - Phone:207-749-2784
Mailing Address - Fax:
Practice Address - Street 1:940 BELMONT ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5596
Practice Address - Country:US
Practice Address - Phone:774-826-2761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN211331163W00000X
MERN050907163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse