Provider Demographics
NPI:1659656296
Name:AGUY-PAULSAINT, RUTH RUNETTE (FNP)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:RUNETTE
Last Name:AGUY-PAULSAINT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:AGUY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:420 WASHINGTON ST STE LL6
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4772
Mailing Address - Country:US
Mailing Address - Phone:781-917-1970
Mailing Address - Fax:781-417-7072
Practice Address - Street 1:420 WASHINGTON ST STE LL6
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4772
Practice Address - Country:US
Practice Address - Phone:781-917-1970
Practice Address - Fax:781-417-7072
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN213693363L00000X, 163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care