Provider Demographics
NPI:1821344748
Name:ASHLEY, SARAH NOEMI (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:NOEMI
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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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:774-260-9100
Mailing Address - Fax:774-260-9105
Practice Address - Street 1:8 COMMERCE BLVD
Practice Address - Street 2:STE 101
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-1030
Practice Address - Country:US
Practice Address - Phone:774-260-9100
Practice Address - Fax:774-260-9105
Is Sole Proprietor?:No
Enumeration Date:2012-07-29
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIPA00655363A00000X
MAPA4698363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant