Healthcare Provider Details

I. General information

NPI: 1073483699
Provider Name (Legal Business Name): ASHLEY CHU NP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2025
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

978 BOYLSTON ST
NEWTON MA
02461-1504
US

IV. Provider business mailing address

38 RUSSELL ST UNIT 1
QUINCY MA
02171-1621
US

V. Phone/Fax

Practice location:
  • Phone: 617-244-0858
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN10001257
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: