Healthcare Provider Details

I. General information

NPI: 1326902842
Provider Name (Legal Business Name): ASHER SPENCE KURTZMAN FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 BUTTERNUT LN
GLOUCESTER MA
01930-1368
US

IV. Provider business mailing address

14 BUTTERNUT LN
GLOUCESTER MA
01930-1368
US

V. Phone/Fax

Practice location:
  • Phone: 843-743-1588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN2319848
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: