Provider Demographics
NPI:1457167488
Name:AYRES, EMMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:AYRES
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 2ND ST APT 3
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-1389
Mailing Address - Country:US
Mailing Address - Phone:413-992-7936
Mailing Address - Fax:
Practice Address - Street 1:80 2ND ST APT 3
Practice Address - Street 2:
Practice Address - City:TURNERS FALLS
Practice Address - State:MA
Practice Address - Zip Code:01376-1389
Practice Address - Country:US
Practice Address - Phone:413-992-7936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula