Avita Slopadoe
Nurse Practitioner, Family in Tyngsboro, Massachusetts
1669194536- Practice location
- 4 Longfellow Ln Apt 102, Tyngsboro, MA 01879-2787
- Phone
- 978-606-8429
- Fax
- —
- Last updated
- September 16, 2022
Avita Slopadoe is a Nurse Practitioner, Family based in Tyngsboro, MA. Avita Slopadoe practices in Tyngsboro, MA. The NPI Number for Avita Slopadoe is 1669194536 and holds a License No. 2021119096 (MA). The current practice location address for Avita Slopadoe is 4 Longfellow Ln Apt 102, Tyngsboro, MA 01879-2787 and can be reached out via phone at 978-606-8429.
Provider Profile Details
- NPI Number
- 1669194536
- Provider Name
- Avita Slopadoe
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4 Longfellow Ln Apt 102, Tyngsboro, MA 01879-2787
- Phone Number
- 978-606-8429
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 16, 2022
- Last Update Date
- September 16, 2022
- Certification Date
- September 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Longfellow Ln Apt 102
Tyngsboro, MA 01879-2787 - City
- Tyngsboro
- State
- Massachusetts
- Zip
- 01879-2787
- Phone Number
- 978-606-8429
Provider Business Mailing Address Details
- Address
- 4 Longfellow Ln Apt 102
Tyngsboro, MA 01879-2787 - City
- Tyngsboro
- State
- MA
- Zip
- 01879-2787
- Phone Number
- 978-606-8429
License Information
- License Number
- 2021119096
- License State
- MA
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · 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 Avita Slopadoe?
The NPI number of Avita Slopadoe is 1669194536. It was assigned on September 16, 2022 and is currently active in the NPPES registry.
What is the specialty of Avita Slopadoe?
Avita Slopadoe is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 2021119096.
Where does Avita Slopadoe practice?
The practice location is 4 Longfellow Ln Apt 102, Tyngsboro, MA 01879-2787. The office can be reached at 978-606-8429 (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 1669194536 directly on the NPPES registry website.