Provider Demographics
NPI:1851426357
Name:FLANAGAN-HICKEY, AISLING J (NP)
Entity Type:Individual
Prefix:
First Name:AISLING
Middle Name:J
Last Name:FLANAGAN-HICKEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:AISLING
Other - Middle Name:J
Other - Last Name:FLANAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:801 ALBANY ST FL G
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119-3791
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:801 MASSACHUSETTS AVE
Practice Address - Street 2:CROSSTOWN 6B
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-414-5951
Practice Address - Fax:617-414-9201
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN252329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110077926AMedicaid
MA110077926AMedicaid
MASS0053, IND # NP95OtherBCBSMA
MA042297845OtherTRICARE
MA042297845OtherHCVM/COVENTY/FIRST HEALTH
MA130363OtherFALLON
MA0716430Medicaid