Provider Demographics
NPI:1134387707
Name:HANLON, ARASIELE VASQUEZ (RNFA)
Entity type:Individual
Prefix:MRS
First Name:ARASIELE
Middle Name:VASQUEZ
Last Name:HANLON
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:MRS
Other - First Name:SALLY
Other - Middle Name:
Other - Last Name:HANLON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RNFA
Mailing Address - Street 1:346 PLAIN ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-2142
Mailing Address - Country:US
Mailing Address - Phone:781-738-7622
Mailing Address - Fax:
Practice Address - Street 1:346 PLAIN ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2142
Practice Address - Country:US
Practice Address - Phone:781-738-7622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692311163W00000X
MARN2259911163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse