Healthcare Provider Details

I. General information

NPI: 1992358451
Provider Name (Legal Business Name): ASHLEY NICOLE ZAGANJORI NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY NICOLE BEAUCAIRE

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 MAIN ST STE 102
WINCHESTER MA
01890-1971
US

IV. Provider business mailing address

1021 MAIN ST STE 102
WINCHESTER MA
01890-1971
US

V. Phone/Fax

Practice location:
  • Phone: 781-729-1021
  • Fax: 781-729-7504
Mailing address:
  • Phone: 978-897-2939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number2258653
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2258653
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: