Provider Demographics
NPI:1750832861
Name:ARAMS, ISANDRA TAVARES (RN)
Entity type:Individual
Prefix:
First Name:ISANDRA
Middle Name:TAVARES
Last Name:ARAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ISANDRA
Other - Middle Name:TAVARES
Other - Last Name:DOS SANTOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANDRADE
Mailing Address - Street 1:30 EASY ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2896
Mailing Address - Country:US
Mailing Address - Phone:774-274-5254
Mailing Address - Fax:
Practice Address - Street 1:30 EASY STREET
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324
Practice Address - Country:US
Practice Address - Phone:774-274-5254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
MARN2380583163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician