Provider Demographics
NPI:1518339340
Name:NAUGHTON, REBECCA M (APRN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
Last Name:NAUGHTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 TODDY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NH
Mailing Address - Zip Code:03049
Mailing Address - Country:US
Mailing Address - Phone:339-927-5272
Mailing Address - Fax:
Practice Address - Street 1:10 RESEARCH PLACE
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863
Practice Address - Country:US
Practice Address - Phone:339-927-5272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH067143-23363LF0000X
MARN254091363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA12071171OtherHARVARD PILGRIM
MA3910136OtherCIGNA
MA110154948BMedicaid
MA543559OtherTUFTS
NH3104262Medicaid
MA5834407OtherUNITED HEALTHCARE