Healthcare Provider Details

I. General information

NPI: 1982520433
Provider Name (Legal Business Name): ADAM AUDET RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BRANCH ST STE 100
METHUEN MA
01844-1979
US

IV. Provider business mailing address

5 BRANCH ST STE 100
METHUEN MA
01844-1979
US

V. Phone/Fax

Practice location:
  • Phone: 425-777-0270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN10030658
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: