Healthcare Provider Details

I. General information

NPI: 1336017870
Provider Name (Legal Business Name): LEAH PAIGE PRZYBYSZEWSKI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 TURNPIKE ST STE 302
CANTON MA
02021-2866
US

IV. Provider business mailing address

9 DRISCOLL LN
MATTAPOISETT MA
02739-1511
US

V. Phone/Fax

Practice location:
  • Phone: 781-821-0707
  • Fax:
Mailing address:
  • Phone: 508-221-0643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2369735
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: