Healthcare Provider Details

I. General information

NPI: 1487892097
Provider Name (Legal Business Name): REGINA COTTAM AURELIO ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 UNION ST LOWR LEVEL
FRANKLIN MA
02038-5011
US

IV. Provider business mailing address

PO BOX 4110 DEPT 7410
WOBURN MA
01888-4110
US

V. Phone/Fax

Practice location:
  • Phone: 508-541-0004
  • Fax: 508-630-1665
Mailing address:
  • Phone: 330-564-2657
  • Fax: 508-630-1665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number182283
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: