Provider Demographics
NPI:1487190070
Name:ALSAWY, VERONICA ASHLEY (NP)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:ASHLEY
Last Name:ALSAWY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:ASHLEY
Other - Last Name:FARRELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:781-938-4686
Practice Address - Street 1:55 LAKE AVE N
Practice Address - Street 2:DEPT OF FAMILY MEDICINE
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01655-0002
Practice Address - Country:US
Practice Address - Phone:508-334-2818
Practice Address - Fax:774-441-7799
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2267623363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily