Most Relevant Information
Provider Data
| NPI Number: | 1003248600 |
| Provider Name: | ASHLEY RENEE MCINNIS CPNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | RN2270212 |
Most Important Dates
| Enumeration Date: | 08/06/2013 |
| Last Updated: | 02/02/2022 |
Provider Practice Location
148 INDUSTRIAL PARK RD
PLYMOUTH
MA
023607243
Practice Location Phone/Fax
| Phone: | 5087465900 |
| Fax: | 5087472290 |
Provider Mailing Location
148 INDUSTRIAL PARK RD
PLYMOUTH
MA
023607243
Provider Mailing Phone/Fax
| Phone: | 5087465900 |
| Fax: | 5087472290 |