Provider Demographics
NPI:1801222831
Name:SIMONI, ASHLEY CHRISTINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:CHRISTINE
Last Name:SIMONI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:CHRISTINE
Other - Last Name:PETRUZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:362 N BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1148
Mailing Address - Country:US
Mailing Address - Phone:508-350-2300
Mailing Address - Fax:508-350-2309
Practice Address - Street 1:1 COMPASS WAY STE 200
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1464
Practice Address - Country:US
Practice Address - Phone:508-350-2300
Practice Address - Fax:508-350-2309
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2260130363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner