=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902776206
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY ELIZABETH GHARIOS FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/11/2025
-----------------------------------------------------
Last Update Date | 11/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 34 BROAD ST
-----------------------------------------------------
City | BILLERICA
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01821-6343
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-223-8669
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 34 BROAD ST
-----------------------------------------------------
City | BILLERICA
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01821-6343
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-223-8669
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | RN2319657
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------