Individual
ASHLEY ANNE PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
22 PINE ST STE 104, BRISTOL, CT 06010-6949
(860) 584-8291
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-3909
(413) 794-1629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3627
CT
363AM0700X
Medical Physician Assistant
3627
CT
363AM0700X
Medical Physician Assistant
Primary
PA6156
MA
Other
Enumeration date
07/19/2016
Last updated
11/27/2024
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