Ashley A Proulx, PHYSICIAN ASSISTANT
Physician Assistant, Medical in Bristol, Connecticut
1023461605- Practice location
- 22 Pine St Ste 104, Bristol, CT 06010-6949
- Phone
- 860-584-8291
- Fax
- —
- Last updated
- November 27, 2024
Ashley Anne Proulx is a Physician Assistant, Medical based in Bristol, CT. Ashley Anne Proulx practices in Bristol, CT and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Ashley Anne Proulx is 1023461605 and holds a License No. 3627 (CT). The current practice location address for Ashley Anne Proulx is 22 Pine St Ste 104, Bristol, CT 06010-6949 and can be reached out via phone at 860-584-8291.
Provider Profile Details
- NPI Number
- 1023461605
- Provider Name
- Ashley Anne Proulx
- Credential
- PHYSICIAN ASSISTANT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Pine St Ste 104, Bristol, CT 06010-6949
- Phone Number
- 860-584-8291
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 19, 2016
- Last Update Date
- November 27, 2024
- Certification Date
- November 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Pine St Ste 104
Bristol, CT 06010-6949 - City
- Bristol
- State
- Connecticut
- Zip
- 06010-6949
- Phone Number
- 860-584-8291
Provider Business Mailing Address Details
- Address
- 280 Chestnut Street
2ND Floor
Springfield, MA 01199-1001 - City
- Springfield
- State
- MA
- Zip
- 01199-1001
- Phone Number
- 413-794-3909
- Fax Number
- 413-794-1629
License Information
- License Number (1)
- 3627
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 3627
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X
- License Number (3)
- PA6156
- License State (3)
- MA
- Taxonomy (3)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ashley A Proulx, PHYSICIAN ASSISTANT?
The NPI number of Ashley A Proulx, PHYSICIAN ASSISTANT is 1023461605. It was assigned on July 19, 2016 and is currently active in the NPPES registry.
What is the specialty of Ashley A Proulx, PHYSICIAN ASSISTANT?
Ashley A Proulx, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 3627.
Where does Ashley A Proulx, PHYSICIAN ASSISTANT practice?
The practice location is 22 Pine St Ste 104, Bristol, CT 06010-6949. The office can be reached at 860-584-8291 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023461605 directly on the NPPES registry website.