Healthcare Provider Details

I. General information

NPI: 1750833745
Provider Name (Legal Business Name): SAMANTHA OLIVEIRA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2016
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 WORCESTER RD
FRAMINGHAM MA
01702-5303
US

IV. Provider business mailing address

171 MAIN ST STE 203B
ASHLAND MA
01721-1187
US

V. Phone/Fax

Practice location:
  • Phone: 508-665-4317
  • Fax:
Mailing address:
  • Phone: 508-881-3029
  • Fax: 508-881-1752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2303031
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: