Provider Demographics
NPI:1487642724
Name:AGUIAR, MARIE T (NP)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:T
Last Name:AGUIAR
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:STE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:480 HAWTHORN ST
Practice Address - Street 2:
Practice Address - City:N DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-3729
Practice Address - Country:US
Practice Address - Phone:508-973-9150
Practice Address - Fax:508-973-9155
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2020-04-20
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Provider Licenses
StateLicense IDTaxonomies
MA138642363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110076838AMedicaid
MANP432701Medicare PIN