Healthcare Provider Details

I. General information

NPI: 1811416563
Provider Name (Legal Business Name): ELIZABETH ASHLEY O'NEIL CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH ASHLEY TARPINIAN CNP

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 WHITE ST
CAMBRIDGE MA
02140-1449
US

IV. Provider business mailing address

366 SHREWSBURY ST
WORCESTER MA
01604-4647
US

V. Phone/Fax

Practice location:
  • Phone: 617-876-5519
  • Fax:
Mailing address:
  • Phone: 508-595-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2290264
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: