Active NPIIndividual provider

Panida Pheang, NP-C

Nurse Practitioner, Adult Health in Ayer, Massachusetts

NPI Number1295447548
Practice location
200 Groton RD, Ayer, MA 01432-1168
Fax
978-784-9666
Last updated
August 30, 2024

Panida Pheang is a Nurse Practitioner, Adult Health based in Ayer, MA. Panida Pheang practices in Ayer, MA and has the professional credentials of NP-C. The NPI Number for Panida Pheang is 1295447548 and holds a License No. RN2296859 (MA). The current practice location address for Panida Pheang is 200 Groton RD, Ayer, MA 01432-1168 and can be reached out via phone at 978-784-9328 and via fax at 978-784-9666.

Provider Profile Details

NPI Number
1295447548
Provider Name
Panida Pheang
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
200 Groton RD, Ayer, MA 01432-1168
Phone Number
978-784-9328
Fax Number
978-784-9666
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
December 19, 2022
Last Update Date
August 30, 2024
Certification Date
August 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Groton RD
Ayer, MA 01432-1168
City
Ayer
Zip
01432-1168
Phone Number
978-784-9328
Fax Number
978-784-9666
Ayer, MA 01432Get directions →

Provider Business Mailing Address Details

Address
200 Groton RD
Ayer, MA 01432-1168
City
Ayer
State
MA
Zip
01432-1168
Phone Number
978-784-9328
Fax Number
978-784-9666

License Information

License Number (1)
RN2296859
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (2)
RN2296859
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Occupational Health · 363LX0106X
License Number (3)
RN2296859
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Panida Pheang, NP-C?

The NPI number of Panida Pheang, NP-C is 1295447548. It was assigned on December 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Panida Pheang, NP-C?

Panida Pheang, NP-C is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number RN2296859.

Where does Panida Pheang, NP-C practice?

The practice location is 200 Groton RD, Ayer, MA 01432-1168. The office can be reached at 978-784-9328 (phone) or 978-784-9666 (fax).

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 1295447548 directly on the NPPES registry website.

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