Provider Demographics
NPI:1710478854
Name:PALEY, ABBIE (NP)
Entity Type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:PALEY
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 1:1215 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-1942
Mailing Address - Country:US
Mailing Address - Phone:508-941-7941
Mailing Address - Fax:508-894-0412
Practice Address - Street 1:6 JFK ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4909
Practice Address - Country:US
Practice Address - Phone:617-354-4420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-24
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN63427363LF0000X
MARN2321663363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily