Provider Demographics
NPI:1801331301
Name:NAULT, ASHLEY (RN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:NAULT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:EAST TEMPLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01438-0323
Mailing Address - Country:US
Mailing Address - Phone:978-413-0637
Mailing Address - Fax:
Practice Address - Street 1:133 PATRIOTS RD
Practice Address - Street 2:APT. C
Practice Address - City:EAST TEMPLETON
Practice Address - State:MA
Practice Address - Zip Code:01438-1202
Practice Address - Country:US
Practice Address - Phone:978-413-0637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2289235163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse