Healthcare Provider Details

I. General information

NPI: 1568385011
Provider Name (Legal Business Name): KAYLA HASHEM
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 WALNUT ST
EAST BRIDGEWATER MA
02333-1526
US

IV. Provider business mailing address

70 WALNUT ST
EAST BRIDGEWATER MA
02333-1526
US

V. Phone/Fax

Practice location:
  • Phone: 774-222-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN2343809
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: