Provider Demographics
NPI:1649013004
Name:PAIVA HEALTH AND WELLNESS CENTER
Entity type:Organization
Organization Name:PAIVA HEALTH AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISABELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAIVA-GUSMAO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:978-296-7730
Mailing Address - Street 1:16 ALPINE LN
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2703
Mailing Address - Country:US
Mailing Address - Phone:978-296-7730
Mailing Address - Fax:
Practice Address - Street 1:16 ALPINE LN
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2703
Practice Address - Country:US
Practice Address - Phone:978-296-7730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty