Mannan, Ashima

Mannan, Ashima is an sole proprietor health care provider with primary practice located at 128 Willow St , Waltham MA 02453-8329. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mannan, Ashima can be contacted via phone (617) 840-1845.

Contact Information

Primary practice address
128 Willow St Waltham MA 02453-8329
Phone: (617) 840-1845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 259466 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 259466 Massachusetts

Profile Details

NPI number 1134538879
LBN Legal business name Mannan, Ashima
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2014
Last updated Aug 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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