Healthcare Provider Details

I. General information

NPI: 1417403650
Provider Name (Legal Business Name): BETHANY C VROUHAS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 LITTLETON RD
CHELMSFORD MA
01824-3406
US

IV. Provider business mailing address

290 LITTLETON RD
CHELMSFORD MA
01824-3406
US

V. Phone/Fax

Practice location:
  • Phone: 978-685-2460
  • Fax: 978-685-2572
Mailing address:
  • Phone: 978-685-2460
  • Fax: 978-685-2572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2272851
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: