Provider Demographics
NPI:1942886247
Name:GITONGA, ASHLEY N (MSN, RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:GITONGA
Suffix:
Gender:F
Credentials:MSN, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WALPOLE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3319
Mailing Address - Country:US
Mailing Address - Phone:781-352-2338
Mailing Address - Fax:781-352-2340
Practice Address - Street 1:45 WALPOLE ST STE 1
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3319
Practice Address - Country:US
Practice Address - Phone:781-352-2338
Practice Address - Fax:781-352-2340
Is Sole Proprietor?:No
Enumeration Date:2021-03-18
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2318631363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
1114266756OtherFALLON HEALTH
MA1114266756OtherBLUE CROSS
1114266756OtherTUFTS
1114266756OtherUNICARE
1114266756OtherALLWAYS HEALTH PLANS
1114266756OtherCOMMONWEALTH CARE ALLIANCE
1114266756OtherAETNA
1114266756OtherHARVARD PILGRIM
1114266756OtherHEALTH PLANS INC
MA1114266756Medicaid
1114266756OtherBOSTON MEDICAL CENTER
1114266756OtherSENIOR WHOLE HEALTH
1114266756OtherCIGNA
1114266756OtherUNITED HEALTH PLANS