Provider Demographics
NPI:1538687868
Name:GOULETTE, ASHLEE HELEN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:HELEN
Last Name:GOULETTE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:HELEN
Other - Last Name:KENNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:55 HIGHLAND AVENUE
Mailing Address - Street 2:101
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:978-741-4171
Mailing Address - Fax:
Practice Address - Street 1:55 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2185
Practice Address - Country:US
Practice Address - Phone:978-741-4171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2264879363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily