Healthcare Provider Details

I. General information

NPI: 1861905382
Provider Name (Legal Business Name): AURYS FERREIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2017
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 WINTHROP AVE
LAWRENCE MA
01843-2836
US

IV. Provider business mailing address

21 BATES ST
METHUEN MA
01844-5412
US

V. Phone/Fax

Practice location:
  • Phone: 978-686-3017
  • Fax:
Mailing address:
  • Phone: 978-943-8779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2391354
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: