IWONA PRABUCKA-DAVIS (NPI# 1518596642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518596642 |
| Entity Type | Individual |
| Full Name | IWONA PRABUCKA-DAVIS |
| Credential | RN |
| Practice Address |
489 Washington St Ste 202 Auburn MA 01501-5709 |
| Mailing Address |
34 Waterman Rd Auburn MA 01501-1859 |
| Practice Telephone | 7742720283 |
| Mailing Telephone | 7742720283 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2276408 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BOARD OF REGISTRATION IN NURSING | RN2276408 | 01 |
| Street Address |
489 WASHINGTON ST STE 202 |
| City | AUBURN |
| State | MA |
| Zip Code | 01501-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558517086 | Tammy L Gardell | Nurse Practitioner | 489 Washington St Ste 202, Auburn, MA 01501-5709 | 2008-08-15 |
| 1316566888 | Auburn Primary Care and Aesthetic S | Nurse Practitioner | 489 Washington St Ste 202, Auburn, MA 01501-5709 | 2020-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075533 | Pawlished Pet Services LLC | Driver | 81 Oxford St North, Auburn, MA 01501 | 2020-02-17 |
| 1417588633 | Kaitlin Smith | Behavioral Analyst | 35 Midstate Drive, Auburn, MA 01501 | 2020-01-27 |
| 1558881011 | Rahab Karue | Behavioral Analyst | 23 Midstate Drive Suite 214, Apex K Home Care, Auburn, MA 01501 | 2017-06-26 |
| 1578917688 | Family Behavioral Health Inc | Behavioral Analyst | 482 Southbridge St Ste 374, Auburn, MA 01501 | 2016-04-15 |
| 1467861724 | Katharine Budra | Physical Therapist | 1 Swanson Rd Ste 1, Auburn, MA 01501 | 2014-08-11 |
| 1124437793 | Benjamin Tubo | Dentist | 824 Southbridge St Ste 200, Auburn, MA 01501 | 2014-08-08 |
| 1164857835 | Kelley Bailey | Social Worker | 714b Southbridge St Ste 6, Auburn, MA 01501 | 2013-09-12 |
| 1023459450 | Usman Javed | Dentist | 434 Souhtbridge St, Auburn, MA 01501 | 2013-07-15 |
| 1588919914 | Caitlin Murphy | Physical Therapist | 1 Swanson Rd Ste 1c, Auburn, MA 01501 | 2012-07-23 |
| 1336406453 | Michael J Cohn O.d. Pllc | Optometrist | 48 Auburn Street, Auburn, MA 01501 | 2012-04-13 |
| Find all providers in zip 01501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935658 | Judith A Glover | Nurse Practitioner | 1101 Rock Elm Dr, Auburn, GA 30011-2393 | 2020-09-02 |
| 1568075190 | Carey Webster | Nurse Practitioner | 11775 Education St Ste 210, Auburn, CA 95602-2453 | 2020-08-24 |
| 1043860299 | Kimberly Danner | Nurse Practitioner | 507 Red Bud Ln, Auburn, IL 62615-9357 | 2019-09-18 |
| 1467001214 | Lauren Elizabeth Sabo | Nurse Practitioner | 906 W North St, Auburn, IL 62615-1046 | 2019-09-04 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1063987162 | Shadiyah S Tawwab | Nurse Practitioner | 1702 Catherine Ct Ste 1a, Auburn, AL 36830-5790 | 2018-10-04 |
| 1801370812 | Catherine Molly Kohl | Nurse Practitioner | 1702 Catherine Ct Ste A, Auburn, AL 36830-5755 | 2018-09-17 |
| 1518443258 | Kelly Elizabeth Cordon | Nurse Practitioner | 77 Nelson St Fl 3, Auburn, NY 13021-1944 | 2018-07-16 |
| 1750873329 | Claire Wakulyaka | Nurse Practitioner | 39 Bryn Mawr Ave, Auburn, MA 01501-1636 | 2018-05-30 |
| 1467963710 | Alissa Marie Dippolito | Nurse Practitioner | 77 Nelson St Ste 310, Auburn, NY 13021-1945 | 2017-10-13 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.