Provider Demographics
NPI:1912940263
Name:ASHTON, SHARI K (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:K
Last Name:ASHTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3301
Mailing Address - Country:US
Mailing Address - Phone:978-371-7010
Mailing Address - Fax:978-371-0522
Practice Address - Street 1:87 MCGREGOR ST
Practice Address - Street 2:SUITE 2100
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3765
Practice Address - Country:US
Practice Address - Phone:603-626-7546
Practice Address - Fax:603-626-7548
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH379P363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH222594672OtherGREATWEST HEALTHCARE
NH222594672OtherTRICARE
NH4149642OtherMVP HEALTHCARE
NHAP2670Medicare ID - Type Unspecified
NHQ70405Medicare UPIN
NHQ70405Medicare UPIN