Provider Demographics
NPI:1538319231
Name:VENTOLA, JOANNE (NP)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:VENTOLA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX A
Mailing Address - Street 2:
Mailing Address - City:HATHORNE
Mailing Address - State:MA
Mailing Address - Zip Code:01937-0380
Mailing Address - Country:US
Mailing Address - Phone:978-774-5000
Mailing Address - Fax:978-739-0419
Practice Address - Street 1:PO BOX A
Practice Address - Street 2:
Practice Address - City:HATHORNE
Practice Address - State:MA
Practice Address - Zip Code:01937-0380
Practice Address - Country:US
Practice Address - Phone:978-774-5000
Practice Address - Fax:978-739-0419
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA131718363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health