Provider Demographics
NPI:1750192837
Name:NATHAN, ADRIANNA MARIE (FNP)
Entity type:Individual
Prefix:MRS
First Name:ADRIANNA
Middle Name:MARIE
Last Name:NATHAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175A GLENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01543-2063
Mailing Address - Country:US
Mailing Address - Phone:978-728-8321
Mailing Address - Fax:
Practice Address - Street 1:175A GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:MA
Practice Address - Zip Code:01543-2063
Practice Address - Country:US
Practice Address - Phone:978-728-8321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2325272363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily