Healthcare Provider Details

I. General information

NPI: 1982346110
Provider Name (Legal Business Name): ALEXANDRA MARIE AUCIELLO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA MARIE COYLE

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 MERRIMAC ST STE 201
NEWBURYPORT MA
01950-2531
US

IV. Provider business mailing address

100 MIDDLE ST APT 4
MANCHESTER NH
03101-1926
US

V. Phone/Fax

Practice location:
  • Phone: 978-904-3059
  • Fax:
Mailing address:
  • Phone: 978-987-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number077067-21
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2320442
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN2320442
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number077067-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: