Healthcare Provider Details

I. General information

NPI: 1346658093
Provider Name (Legal Business Name): VIRGINIA G CASHMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 03/21/2020
Certification Date: 03/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 WARD HILL AVE
BRADFORD MA
01835-5896
US

IV. Provider business mailing address

451 ANDOVER ST
NORTH ANDOVER MA
01845-5044
US

V. Phone/Fax

Practice location:
  • Phone: 978-372-8000
  • Fax: 978-521-0829
Mailing address:
  • Phone: 978-794-2000
  • Fax: 978-794-2007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN216053
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN216053
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN216053
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: